KEVIN JEROME DOHERTY (NPI# 1104946128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104946128 |
| Entity Type | Individual |
| Full Name | KEVIN JEROME DOHERTY |
| Credential | DDS |
| Practice Address |
1200 S Highland Ave Clearwater FL 33756-4334 |
| Practice Telephone | 7274411571 |
| Practice Fax Number | 7274669541 |
| Mailing Telephone | 7274411571 |
| Mailing Fax Number | 7274669541 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN4560 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932230547 | Kevin Doherty | Acupuncturist | 2300 S Rock Creek Pkwy, Cross Creek Retail Center, Superior, CO 80027-4409 | 2007-03-07 |
| 1689737850 | Kevin Doherty | Nurse Anesthetist, Certified Registered | 275 Sandwich Road, Jordan Hospital, Plymouth, MA 02360 | 2006-12-19 |
| 1518069236 | Kevin Glen Doherty | Emergency Medicine | 6511 Taggart Rd, Delaware, OH 43015-8893 | 2006-09-02 |
| 1336180249 | Kevin Patrick Doherty | Physical Therapist | 14825 N Outer Forty Road, Suite 300, Chesterfield, MO 63005-0002 | 2006-06-10 |
| 1962809905 | Kevin Richard Doherty II | Counselor | 599 Canal St, Lorenzo Building, Lawrence, MA 01840-1244 | 2014-11-19 |
| 1437555885 | Kevin L Doherty | Registered Nurse | 597 Center Ave, Suite 200a, Martinez, CA 94553-4640 | 2014-11-12 |
| 1174796098 | Kevin Doherty | Chiropractor | 141 S Central Ave, Suite 305, Hartsdale, NY 10530-2319 | 2008-04-11 |
| 1831310341 | Kevin James Doherty | Counselor | 10350 E Dakota Ave, Ste B, Denver, CO 80247-1314 | 2007-05-01 |
| 1093854341 | Kevin M. Doherty | Pharmacist | 1000 Memorial Dr, Denison, TX 75020-2035 | 2007-02-05 |
| Street Address |
1200 S HIGHLAND AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225293533 | Aleksander Precaj | Dentist | 1200 S Highland Ave, Clearwater, FL 33756-4334 | 2008-07-25 |
| 1396014536 | P.b. & R's Enterprises LLC | Clinic/Center | 1200 S Highland Ave, Suite 'b', Clearwater, FL 33756-4334 | 2011-12-16 |
| 1023262979 | Family Dental Care Clinic | Dentist | 1200 S Highland Ave, Suite B, Clearwater, FL 33756-4334 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568023067 | Countryside Mall Dental Pa | Dentist | 27001 Us Highway 19 N Ste 1031b, Clearwater, FL 33761-3407 | 2019-06-25 |
| 1659894426 | James Ray Renner | Dentist | 13 Windward Is, Clearwater, FL 33767-2322 | 2017-07-24 |
| 1861947459 | Dental Arts Clearwater Pa | Dentist | 1201 S Highland Ave Ste 3, Clearwater, FL 33756-4359 | 2016-08-24 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1750786729 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 2555 Enterprise Rd Ste 3, Clearwater, FL 33763-1104 | 2014-11-03 |
| 1679974224 | Amish Jayendra Patel | Dentist | 1243 Lakeview Rd, Clearwater, FL 33756-3587 | 2014-09-12 |
| 1629483342 | Paul Kanach | Dentist | 29605 Us Highway 19 N Ste 310, Clearwater, FL 33761-1540 | 2014-06-23 |
| 1235481847 | David Robert Houghton | Dentist | 503 Cleveland St, Clearwater, FL 33755-4007 | 2012-10-05 |
| 1962751370 | Mark V Davis Dmd Pllc | Dentist | 14010 Roosevelt Blvd Ste 704, Clearwater, FL 33762-3820 | 2012-08-30 |
| 1528341518 | Raymond G Behm Jr. | Dentist | 127 N Garden Ave, Clearwater, FL 33755-4119 | 2011-09-26 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.