Doctor profile · Federal record
Dr. Fan Mou, D.D.S
General Practice Dentistry · New York, NY
- NPI 1497806582
- 19 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
128 Mott St, Suite 203
New York, NY 100135540
(212) 965-8113
fax (212) 965-8114 - Mailing address
-
560 Riverside Dr, Apt #5G
New York, NY 100273202
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- New York #052212
- Medicaid
- NY #02743382
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497806582. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$31
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Solventum Corporation | 1 | $31.19 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$79
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 13 | 0 | $79 |
Frequently asked questions
What is Dr. Fan Mou's medical specialty?
Dr. Fan Mou practices General Practice Dentistry in New York, NY.
Where does Dr. Fan Mou practice?
Dr. Fan Mou practices at 128 Mott St, New York, NY 100135540. Office phone: 2129658113.
What is Dr. Fan Mou's NPI?
Dr. Fan Mou's National Provider Identifier (NPI) is 1497806582, issued by NPPES.