Douglas F Pohl, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11865 Issued in FL

Practice address

31 Perry Ave
Fort Walton Beach, FL 32548-5612

Phone

(850) 243-0800

Fax

(850) 664-5124

NPI assigned

Mar 23, 2007

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881711992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PERRY AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485612",
            "telephone_number": "850-243-0800",
            "fax_number": "850-664-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PERRY AVE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485612",
            "telephone_number": "850-243-0800",
            "fax_number": "850-664-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POHL",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "759129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59089346",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "63913",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carly Mae Pippin, DPT
• Kelly Anne Pippins
• Brian S Planchard, MD
• Harvey Plosker, MD
• Jennifer Poe, R.D.
• Trinity Pollard
• Anastasia Pona
• Isabel Porredon
• Brandon Porter, HIS
• Brandy G Porter, LMT

• General Practice Dentistry in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• General Practice Dentistry in Florida

• 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.
• 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.