KEITH BRIAN DOUTS JR. (NPI# 1700174299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700174299 |
| Entity Type | Individual |
| Full Name | KEITH BRIAN DOUTS JR. |
| Credential | DDS |
| Practice Address |
6920 Indianapolis Blvd Hammond IN 46324-2206 |
| Mailing Address |
Po Box 1430 Portage IN 46368-9230 |
| Practice Telephone | 2197638112 |
| Practice Fax Number | 2198449006 |
| Mailing Telephone | 2197638112 |
| Mailing Fax Number | 2197643251 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2017-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12011663A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201032760 | 05 |
| Street Address |
6920 INDIANAPOLIS BLVD |
| City | HAMMOND |
| State | IN |
| Zip Code | 46324-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101753 | Vanessa R Foster | Obstetrics & Gynecology | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 | 2005-08-18 |
| 1578958278 | Aditya Shah | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2015-03-31 |
| 1023440526 | Northshore Health Centers, Inc | Social Worker | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 | 2013-08-07 |
| 1013270024 | Dana Elsherif | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 | 2012-06-25 |
| 1629338777 | Shawn Phillip Naranjo | Obstetrics & Gynecology | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2012-05-23 |
| 1639409352 | Arshia Anjum Mohiuddin | Nurse Practitioner | 6920 Indianapolis Blvd, Hammond, IN 46324-1150 | 2009-12-31 |
| 1306173786 | Mary T Ellis | Advanced Practice Midwife | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 | 2009-11-05 |
| 1487787602 | Isil Halac | Pediatrics | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 | 2007-03-14 |
| 1154454346 | Lawrence Lyn Adams | Dentist | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 | 2007-03-14 |
| 1629188743 | Cesar Mikels Labitan Jr. | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324-2206 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1679049779 | Secure Dental Viii | Dentist | 7905 Indianapolis Blvd, Indianan, IN 46324 | 2018-10-17 |
| 1710317615 | Christopher Keown-belous | Marriage & Family Therapist | 7030 Indianapolis Blvd, Hammond, IN 46324 | 2013-11-14 |
| 1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
| 1427343862 | Amanda Rose Popovich | Behavioral Analyst | 7110 Magoun Avenue, Hammond, IN 46324 | 2011-06-14 |
| 1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
| 1417039652 | Debra Antoinette Petersen | Nurse Practitioner | 7131 Indianapolis Blvd, Hammond, IN 46324 | 2006-10-19 |
| 1568455467 | Elisabeth Cleary Shearon | Pathology | Alvero Clinical Laboratories, 3434 Interstate Plaza Dr, Hammond, IN 46324 | 2005-08-25 |
| 1770928509 | Hammond Dental Group LLC | Dentist | 6414 Calumet Ave, Hammond, IN 46324 | 2013-05-07 |
| 1922178540 | Jay David Karol | Dentist | 7134 Calumet Ave, Hammond, IN 46324 | 2006-11-09 |
| Find all providers in zip 46324 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720556749 | Oak Ridge Dental & Surgery, LLC | Dentist | 5815 Calumet Ave, Hammond, IN 46320-2352 | 2018-11-07 |
| 1831685346 | James Davis Schneider | Dentist | 1109 C M Fagan Dr Ste P, Hammond, LA 70403-5973 | 2018-07-09 |
| 1992183420 | Morgan Habetz | Dentist | 1109 C M Fagan Dr, Unit P, Hammond, LA 70403-5973 | 2015-05-17 |
| 1801197868 | United Dental Centers | Dentist | 5254 Hohman Ave, Hammond, IN 46320-1722 | 2010-11-08 |
| 1376863373 | Hammond Dental Group | Dentist | 6414 Calumet Ave, A, Hammond, IN 46324-1207 | 2010-06-02 |
| 1598997553 | Meghan Pritchett Duplechin | Dentist | 800 C M Fagan Dr., Suite A, Hammond, LA 70403 | 2009-08-10 |
| 1184863466 | Daniel Erwin Walth | Dentist | 979 Davis St., Hammond, WI 54015 | 2009-02-11 |
| 1891944609 | Reena Oza | Dentist | 800 Cm Fagan Dr., Suite A, Hammond, LA 70401 | 2008-09-17 |
| 1518970193 | Charles K Sherman | Dentist | 2102 Rue Simone, Hammond, LA 70403 | 2006-08-14 |
| 1063449684 | Joel Trion Harris | Dentist | 1403 Derek Dr, Hammond, LA 70403-5768 | 2006-06-27 |
| Find all providers in HAMMOND | ||||
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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.