Mukkara Frederick LLC
NPI 1851963037ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Frederick, MD
Dentist, Orthodontics and Dentofacial Orthopedics in Frederick, Maryland, registered in NPPES in July 2021. The authorized official on file is Mamata Mukkara, DMD, CAGS, DSCD, Orthodontist.
Overview
| NPI | 1851963037 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2021 |
| Last updated in NPPES | Jul 15, 2021 |
| Certified by provider | Jul 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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