Individual provider Active NPI

Jihan L Doss, DMD,MPH

  • Dentist
  • Clinton, IN
National Provider Identifier
1962958330
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD4535 Issued in NM
Practice address
1792 E State Road 163
Clinton, IN 47842-7327
Phone
(765) 828-3241
NPI assigned
Aug 26, 2016
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD4535 NM Primary
Dentist 122300000X 019030847 IL
General Practice Dentistry 1223G0001X 12013938A IN

Addresses

Primary practice location

1792 E State Road 163
Clinton, IN 47842-7327

Mailing address

6349 U.S. Highway 550
Cuba, NM 87013
Phone (575) 289-3291

Other practice location 1

2750 W North Ave
Chicago, IL 60647-5247
Phone (312) 666-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210804004226 IL Practitioner - Dentist 0244519783 Reassigns benefits to 1 organization
I20221103002384 IN Practitioner - Dentist 0244519783 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDNMMDDentist
DD4535NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Porter-Starke Services Inc. CurrentSince Oct 13, 2022 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Erie Family Health Center, Inc CurrentSince Apr 8, 2021 Accepting new patients
Erie Family Health Center Inc CurrentSince Apr 8, 2021 Accepting new patients
Porter-Starke Services Inc. CurrentSince Oct 13, 2022 Accepting new patients
Porter-Starke Services Inc. Current Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-2056

2750 W North Ave
Chicago, IL 60647
Phone (312) 432-2767

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

1792 E State Road 163
Clinton, IN 47842
Phone (765) 828-3241

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

3229 Broadway
Ste 115
Gary, IN 46409
Phone (219) 806-3000

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/VALLEY
  • Direct secure messaging: jdoss368142@direct.ochin.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1962958330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 U.S. HIGHWAY 550",
            "city": "CUBA",
            "state": "NM",
            "postal_code": "87013",
            "telephone_number": "575-289-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E STATE ROAD 163",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478427327",
            "telephone_number": "765-828-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606475247",
            "country_code": "US",
            "telephone_number": "312-666-3494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSS",
        "first_name": "JIHAN",
        "middle_name": "L",
        "credential": "DMD,MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD4535",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030847",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013938A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.