Jennifer Douglas

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH11994 Issued in MA

Practice address

30 Elm Ave
Hyannis, MA 02601-5547

Phone

(508) 778-0300

NPI assigned

Mar 10, 2009

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 names 1

• Jennifer Douglas Other name

Medicare fee-for-service enrollment

Enrolled in MA

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

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 and National Provider Directory roles.

• Harbor Health Services, Inc.

  • Community Health Clinic/Center
  • Hyannis, MA
  • NPI 1376502070
  Medicare reassignment NPD
• Harbor Health Services, Inc.

  • Community Health Clinic/Center
  • Plymouth, MA
  • NPI 1568892859
  NPD
• Harbor Health Services

  • Dentist
  • Hyannis, MA
  • NPI 1801224704
  NPD (past)
• Harbor Health Services Inc

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1659330496
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1720229461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 REDFIELD ST",
            "address_2": "SUITE 302",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223630",
            "telephone_number": "617-506-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELM AVE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015547",
            "telephone_number": "508-778-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "DH11994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DOUGLAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John C Dorn, D.C.
• Leah Doroch
• Eve Dorr, MSW, LCSW
• Brittany Dory
• Marie T Doubleday, LMHC
• Dove Counseling, Inc.
• Bruce M Dow, MD
• Ann Dowd, CRNA
• Caitlin Downarowicz
• Patricia Ann Doyle

• Dental Hygienist in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Dental Hygienist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.