Active NPI
Jocelyn B Doran, DMD
- Dentist
- Iuka, MS
National Provider Identifier
1235272790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 306098
- Practice address
- 238 Kaki Street
Iuka, MS 38852 - Phone
- (662) 423-3717
- Fax
- (662) 423-3714
- NPI assigned
- Feb 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 306098 | MS | Primary |
Addresses
Primary practice location
238 Kaki Street
Iuka, MS 38852
Mailing address
PO Box 180
Iuka, MS 38852
Phone (662) 423-3717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306098 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235272790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-423-3717",
"fax_number": "662-423-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 KAKI STREET",
"city": "IUKA",
"state": "MS",
"postal_code": "38852",
"telephone_number": "662-423-3717",
"fax_number": "662-423-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "JOCELYN",
"middle_name": "B",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "306098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.