Kevin Scott Douglas, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3022-97 Issued in MS

Practice address

1603 23Rd Ave
Meridian, MS 39301-3102

Phone

(601) 483-4522

Fax

(601) 485-9925

NPI assigned

Jul 20, 2007

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles E Atkins Jr, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Meridian, MS
  • NPI 1285764787
  NPD (past)
• Douglas Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Meridian, MS
  • NPI 1578868188
  NPD (past)
• Douglas Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Meridian, MS
  • NPI 1528657939
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1932309648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013102",
            "telephone_number": "601-483-4522",
            "fax_number": "601-485-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013102",
            "telephone_number": "601-483-4522",
            "fax_number": "601-485-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 17395",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "3022-97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leonard Dooley, O.D.
• Kimberly Cooper Doolittle, CRNA
• David I. Doorenbos, M.D.
• Douglas Orthodontics
• Douglas Orthodontics PLLC
• Roscoe Lormer Douglas, PH.D.
• Kenneth Dowden, LCMHT
• Sedjinon Gardner Doxey
• Allison Hailman Doyle, D.O.
• Dr Michael S Zaleski (Total Foot Care Clinic)

• 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 Jan 13, 2011; 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.