1. Home
  2. Directory
  3. Colorado
  4. Wheat Ridge
  5. Specialist
  6. NPI Profile

MOUCHANTAT PLASTIC SURGERY PC
NPI 1255502753
Specialist in Wheat Ridge, CO

Active since March 12, 2008
3280 WADSWORTH BLVD, SUITE 100, WHEAT RIDGE, CO 80033(303) 232-8585(303) 232-3304 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mouchantat Plastic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUCHANTAT PLASTIC SURGERY PC (NPI 1255502753), doing business as John M Pav Md Pc, is a healthcare organization registered as a specialist in Wheat Ridge, Colorado and active in the NPI registry since March 2008. The organization lists Richard A Mouchantat, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1255502753
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMOUCHANTAT PLASTIC SURGERY PC
Location Address3280 WADSWORTH BLVD, SUITE 100Wheat Ridge, CO 80033-4640
Mailing Address3280 Wadsworth Blvd, Suite 100Wheat Ridge, CO 80033-4640 · (303) 232-8585 · Fax (303) 232-3304
Phone(303) 232-8585
Fax(303) 232-3304
Organization SubpartNo
Authorized OfficialRichard A MouchantatPhysician/owner · (303) 232-8585
Enumeration DateMarch 12, 2008
Last NPPES UpdateSeptember 17, 2015
✔ NPI 1255502753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3280 WADSWORTH BLVD, Wheat Ridge, CO 80033
Open in Google Maps ↗

Other Names 1

Former Legal Business NameJohn M Pav Md Pc

Other Identifiers 1

Medicare PINCS4008CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD A MOUCHANTAT M.D.
Surgery (Plastic and Reconstructive Surgery)
3280 WADSWORTH BLVD, SUITE 100
WHEAT RIDGE, CO 80033
Jefferson County (303) 232-8585
DR. CRAIG ANTHONY REYNOLDS M.D.
Specialist
3280 WADSWORTH BLVD, SUITE 100
WHEAT RIDGE, CO 80033
Jefferson County (303) 985-3303
ROCKY MOUNTAIN COSMETIC & RECONSTRUCTIVE SURGERY ASSOC, P.C.
Specialist
3280 WADSWORTH BLVD, SUITE 100
WHEAT RIDGE, CO 80033
Jefferson County (303) 985-3303
ROBERT FUREY
Physician Assistant (Surgical)
3280 WADSWORTH BLVD, SUITE100
WHEAT RIDGE, CO 80033
Jefferson County (303) 232-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mouchantat Plastic Surgery PC's NPI number?

The NPI number for Mouchantat Plastic Surgery PC is 1255502753. It was assigned to this organization in the NPPES registry on March 12, 2008. The provider was formerly known as John M Pav MD PC.

Where is Mouchantat Plastic Surgery PC located?

Mouchantat Plastic Surgery PC is located at 3280 Wadsworth Blvd Suite 100, Wheat Ridge, CO 80033. The listed phone number is (303) 232-8585.

What is Mouchantat Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mouchantat Plastic Surgery PC was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.