Active NPI
Jihan L Doss, DMD,MPH
- Dentist
- Clinton, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD4535
- Practice address
- 1792 E State Road 163
Clinton, IN 47842-7327 - Phone
- (765) 828-3241
- NPI assigned
- Aug 26, 2016
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD | NM | MD | Dentist |
| DD4535 | NM | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter-Starke Services Inc. | Current | Accepting new patients | |
| Valley Professionals Community Health Center Inc | Current | Accepting new patients | |
| Valley Professionals Community Health Center, Inc. | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Porter-Starke Services Inc. | Current | 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 | Current | 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
- https://fhir4.healow.com/fhir/r4/VALLEY
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valparaiso, IN
- NPI 1689627598
-
- Federally Qualified Health Center (FQHC)
- Clinton, IN
- NPI 1104006253
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
dba Marram Health Center
- Federally Qualified Health Center (FQHC)
- Gary, IN
- NPI 1023485356
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1659196236
-
- Federally Qualified Health Center (FQHC)
- Crawfordsville, IN
- NPI 1083009997
-
dba VPCHC-Clinton Dental
- Federally Qualified Health Center (FQHC)
- Clinton, IN
- NPI 1972312973
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
dba Erie Teen Health Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134316631
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.