Active NPI
Mohamad Okab
- Dentist
- Lafayette, IN
National Provider Identifier
1447170071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12015099A
- Practice address
- 3554 Promenade Pkwy Ste D
Lafayette, IN 47909-8418 - Phone
- (765) 233-9590
- NPI assigned
- Jul 15, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12015099A | IN | Primary |
Addresses
Primary practice location
3554 Promenade Pkwy Ste D
Lafayette, IN 47909-8418
Mailing address
820 Gardenbrook Cir Apt F
Indianapolis, IN 46202-4659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1447170071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 GARDENBROOK CIR APT F",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462024659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3554 PROMENADE PKWY STE D",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479098418",
"telephone_number": "765-233-9590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAB",
"first_name": "MOHAMAD",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12015099A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.