Active NPI
Jesse Doughty
- Home Modifications Contractor
- Ogilvie, MN
National Provider Identifier
1902648876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- BC741869
- Practice address
- 1744 Old Highway 23 W
Ogilvie, MN 56358-3704 - Phone
- (920) 889-9408
- NPI assigned
- Jun 11, 2024
- Last updated
- Jun 11, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | BC741869 | MN | Primary |
Addresses
Primary practice location
1744 Old Highway 23 W
Ogilvie, MN 56358-3704
Mailing address
1744 Old Highway 23 W
Ogilvie, MN 56358-3704
Phone (320) 459-8243
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 |
|---|---|---|---|
| BC741869 | MN | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1902648876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1744 OLD HIGHWAY 23 W",
"city": "OGILVIE",
"state": "MN",
"postal_code": "563583704",
"telephone_number": "320-459-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 OLD HIGHWAY 23 W",
"city": "OGILVIE",
"state": "MN",
"postal_code": "563583704",
"telephone_number": "920-889-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHTY",
"first_name": "JESSE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-11",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "MN",
"license": "BC741869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogilvie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.