Jennifer Renee Duchane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009854 Issued in IN

Practice address

1436 Locust St
Terre Haute, IN 47807-1648

Phone

(812) 232-7447

Fax

(812) 232-6962

NPI assigned

Nov 21, 2007

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Renee Duchane Professional name

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Denture Clinic Inc

  dba Renee DuChane DDS

  • General Practice Dentistry
  • Terre Haute, IN
  • NPI 1740398155
  NPD (past) Authorized official
• Wabash Valley Health Center, Inc.

  dba St. Ann Clinic, St. Ann Dental Services, St. Ann Community Outreach Se

  • Clinic/Center
  • Terre Haute, IN
  • NPI 1891044681
  NPD
• Richey Family Dentistry

  dba Crossroads Family Dentistry

  • General Practice Dentistry
  • Terre Haute, IN
  • NPI 1194127811
  NPD (past)
• Wabash Valley Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Terre Haute, IN
  • NPI 1376974527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1174704860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 LOCUST ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071648",
            "telephone_number": "812-232-7447",
            "fax_number": "812-232-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 LOCUST ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071648",
            "telephone_number": "812-232-7447",
            "fax_number": "812-232-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHANE",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200169260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "DUCHANE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Drake, PT, DPT
• Melody Jane Drake, MD
• Stanley R Drake, MD
• Melissa Dreher, MS, LMHC
• Isaac Russell Drew, PHARMACIST
• Chase Dudine
• Haylie Dugan, SLP
• Jaimee Patricia Dugger, CCC-SLP
• Lauren Dulay, FNP-BC, MSN, RN
• Daxton Duncan, NP

• General Practice Dentistry in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.