DR. KEVIN SCOTT DOUGLAS (NPI# 1932309648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932309648 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SCOTT DOUGLAS |
| Credential | DMD |
| Practice Address |
1603 23rd Ave Meridian MS 39301-3102 |
| Practice Telephone | 6014834522 |
| Practice Fax Number | 6014859925 |
| Mailing Telephone | 6014834522 |
| Mailing Fax Number | 6014859925 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2011-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
3022-97 | MS | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN 17395 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936785 | Kevin Douglas | Behavioral Analyst | 3473 Cannon Way, Live Oak, CA 95953-9654 | 2016-04-05 |
| 1902407182 | Kevin Douglas | Specialist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1174020598 | Kevin Andrew Douglas | Student in an Organized Health Care Education/Training Program | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2018-04-11 |
| 1245325778 | Kevin Michael Douglas | Internal Medicine | 6900 Georgia Ave, Nw, Washington, DC 20307 | 2006-10-03 |
| Street Address |
1603 23RD AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285764787 | Charles E Atkins Jr, Dmd | Dentist | 1603 23rd Ave, Meridian, MS 39301-3102 | 2007-03-06 |
| 1578868188 | Douglas Orthodontics | Dentist | 1603 23rd Ave, Meridian, MS 39301-3102 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1205330420 | Jendy Pllc | Dentist | 2300 W Everest Ln Ste 125, Meridian, ID 83646-6113 | 2018-03-21 |
| 1306968342 | Michael D. Payne | Dentist | 3289 N Towerbridge Way, Meridian, ID 83642-8347 | 2007-04-03 |
| 1285764787 | Charles E Atkins Jr, Dmd | Dentist | 1603 23rd Ave, Meridian, MS 39301-3102 | 2007-03-06 |
| 1942374491 | Robert C. Gaudry | Dentist | 1718 S. Millenium Way, Meridian, ID 83642-1511 | 2006-11-17 |
| 1336218833 | John J Hodge | Dentist | 4227 Poplar Springs Dr, Meridian, MS 39305-3311 | 2006-11-07 |
| 1417060302 | Gregory Scott Guymon | Dentist | 1200 W Cherry Ln Ste 101, Meridian, ID 83642-4933 | 2006-08-16 |
| 1134136286 | Gold Orthodontics, P.C. | Dentist | 1550 E Heritage Park St Ste 100, Meridian, ID 83642-5886 | 2006-08-02 |
| 1790318608 | Smile Straight Orthodontics-central Ms Pllc | Dentist | 2300 N Hills St, Meridian, MS 39305-2633 | 2020-02-19 |
| 1578868188 | Douglas Orthodontics | Dentist | 1603 23rd Ave, Meridian, MS 39301-3102 | 2011-01-13 |
| Find all providers in MERIDIAN | ||||
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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.