Karan Doomra, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21941 Issued in FL

Practice address

3590 Bayside Lakes Blvd SE Ste 1
Palm Bay, FL 32909-6866

Phone

(321) 984-0044

NPI assigned

Jun 18, 2016

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

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

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Smiletown Dental LLC

  • Public Health Dentistry
  • Sanford, FL
  • NPI 1497644561
  NPD Authorized official
• Professional Dental Alliance of Bayside Lakes, PLLC

  • General Practice Dentistry
  • Palm Bay, FL
  • NPI 1346729167
  NPD (past)

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1942650155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 BAYSIDE LAKES BLVD SE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096866",
            "telephone_number": "321-984-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 BAYSIDE LAKES BLVD SE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096866",
            "telephone_number": "321-984-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOMRA",
        "first_name": "KARAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-18",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Donaldson
• Dong Yo Acupuncture
• Donmacan Inc/Dba Progress House
• Donna'S Assisted Living Facility II LLC
• Donna'S Assisted Living Facility LLC
• Whitney Dopico, MA
• Isabel Dopson
• Lorraine Dorleans
• Maritza Dotres Martinez, MD
• Carl E Doughty

• General Practice Dentistry in Palm Bay, FL
• Providers in Palm Bay, 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 Jun 18, 2016; 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.