Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mouchantat Plastic Surgery PC

Organization Specialist · NPI 1255502753

Mouchantat Plastic Surgery PC is a Specialist in Wheat Ridge, Colorado. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3280 Wadsworth Blvd Ste 100
Wheat Ridge, CO 80033-4640
Phone: (303) 232-8585
Fax: (303) 232-3304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1255502753
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Mouchantat — Physician/Owner · (303) 232-8585
Other names John M Pav Md Pc
NPI enumeratedMarch 12, 2008
Last updated in NPPESSeptember 17, 2015
Mailing address3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4640

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