Douglas Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DOUGLAS ORTHODONTICS PLLC

Practice address

2400 16TH St
Meridian, MS 39301-3955

Phone

(601) 483-4522

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Brandy McGowin

Title

Office Manager

Phone

(601) 778-0367

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Scott Douglas, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Meridian, MS
  • NPI 1932309648
  NPD (past)

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1528657939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 16TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013955",
            "telephone_number": "601-483-4522",
            "fax_number": "601-340-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 16TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013955",
            "telephone_number": "601-483-4522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 Pine Belt Dr",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MS",
            "postal_code": "394401348",
            "country_code": "US",
            "telephone_number": "601-778-0367",
            "fax_number": "601-778-0367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOUGLAS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "MCGOWIN",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-778-0367"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlsa Donohue
• Jennifer Leonard Dooley, O.D.
• Kimberly Cooper Doolittle, CRNA
• David I. Doorenbos, M.D.
• Douglas Orthodontics
• Kevin Scott Douglas, DMD
• Roscoe Lormer Douglas, PH.D.
• Kenneth Dowden, LCMHT
• Sedjinon Gardner Doxey
• Allison Hailman Doyle, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Meridian, MS
• Providers in Meridian, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.