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Deactivated NPI 1689087934 Deactivated / Inactive NPI Male Practitioner

Dr. Mo Mahoutchi , DMD

Dentist - General Practice • Bellevue, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mo Mahoutchi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 04, 2014
NPI Deactivation Date September 13, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mo Mahoutchi, DMD was a registered Dentist - General Practice practicing in Bellevue, WA. Throughout an active medical career spanning 9 years, Dr. Mahoutchi provided care at the practice location at 10500 NE 8TH ST until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

10500 Ne 8th St

Bellevue, WA 980044345

Telephone 2067780399
Associated Practice Facility / Clinic
🏢 Lynn A Jones Dds Ps Facility NPI 1588023212

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Bellevue, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60479441

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Scot Campbell , LMP

Massage Therapist

NPI 1104253061

Licensed Massage Practitioner

Dr. Lynn Jones , DDS

Dentist - General Practice

NPI 1154455111

Doctor of Dental Surgery

Dr. Robert Redenz , DDS

Dentist - General Practice

NPI 1447986187

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2023

Record deactivated on September 13, 2023

NPI Profile Active January 19, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 19, 2015

Registered at 10500 NE 8TH ST, BELLEVUE, WA 980044345 (Tel: 2067780399)

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Updated Business Mailing Address January 19, 2015

Registered at 10500 NE 8TH ST, BELLEVUE, WA 980044345

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Provider Name / Credentials Updated January 19, 2015

Recorded as MO MAHOUTCHI, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2015

Dentist (License #DE60479441 in WA)

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Initial NPI Registration & Enumeration June 04, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689087934
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2014
Last Update: January 19, 2015
Deactivation Date: September 13, 2023

Mailing Address

10500 Ne 8th St

Bellevue, WA 980044345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.