Nicholas Mouchaham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012945A Issued in IN

Practice address

5790 E Main St Ste 110
Carmel, IN 46033-6200

Phone

(317) 844-2810

NPI assigned

Jun 13, 2018

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mouchaham Dentistry, LLC

  • Dental Clinic/Center
  • Carmel, IN
  • NPI 1326860099
  NPD Authorized official
• Indy Dental Group 93Rd, Inc.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1366531196
  NPD (past)
• Richard Gregory Pyle DDS PC

  • Dentist
  • Muncie, IN
  • NPI 1689073660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1841783958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14707 KELLER TER",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460338887",
            "telephone_number": "765-729-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 E MAIN ST STE 110",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460336200",
            "telephone_number": "317-844-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1121 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025211",
            "country_code": "US",
            "telephone_number": "317-274-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUCHAHAM",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012945A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makaela Mosolf
• Whitney Moss
• Anush Raghunandan Motaganahalli
• Anna Liza Motilla
• Mouchaham Dentistry, LLC
• Derek Duane Mounsey, DO, MHA
• Nico Mousdicas, MD
• Moving Forward DME
• Moving Mountains Physical Therapy & Performance LLC
• Laurie Ann Moyer, LMHC, LCAC, ATR

• General Practice Dentistry in Carmel, IN
• Providers in Carmel, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.