Mouchantat Plastic Surgery PC
NPI 1255502753 · Specialist · Wheat Ridge, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mouchantat Plastic Surgery PC is a Specialist organization in Wheat Ridge, CO (NPI 1255502753).
Provider details
- NPI number
- 1255502753
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Richard Mouchantat, Physician/Owner(303) 232-8585
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- John M Pav MD PC
Registry dates
- Enumerated
- 2008-03-12
- Last updated
- 2015-09-17
Frequently asked questions
- What is Mouchantat Plastic Surgery PC's NPI number?
- Mouchantat Plastic Surgery PC's National Provider Identifier (NPI) is 1255502753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mouchantat Plastic Surgery PC?
- Mouchantat Plastic Surgery PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mouchantat Plastic Surgery PC located?
- Mouchantat Plastic Surgery PC's practice location on file with NPPES is 3280 Wadsworth Blvd, Wheat Ridge, CO 80033-4640.
- What is Mouchantat Plastic Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Mouchantat Plastic Surgery PC is (303) 232-8585.
- Does Mouchantat Plastic Surgery PC accept Medicare?
- Mouchantat Plastic Surgery PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mouchantat Plastic Surgery PC?
- The authorized official listed on Mouchantat Plastic Surgery PC's NPPES record is Richard Mouchantat, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mouchantat Plastic Surgery PC's NPI active?
- Yes — Mouchantat Plastic Surgery PC's NPI (1255502753) is active in the NPPES registry as of the last update on 2015-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.