DR. KEVIN PAUL DOUGHERTY (NPI# 1598988842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598988842 |
| Entity Type | Individual |
| Full Name | DR. KEVIN PAUL DOUGHERTY |
| Credential | DMD |
| Practice Address |
475 Shunpike Rd Chatham NJ 07928-1528 |
| Practice Telephone | 9733773000 |
| Practice Fax Number | 9733770909 |
| Mailing Telephone | 9733773000 |
| Mailing Fax Number | 9733770909 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D15205 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578717211 | Kevin Michael Dougherty | Social Worker | 303 S Broadway Ste 200-135, Denver, CO 80209-1558 | 2008-11-07 |
| 1730200635 | Kevin Richard Dougherty | Psychologist | 1910 Wabash Ave, Linwood, NJ 08221-1451 | 2007-04-02 |
| 1407997257 | Kevin Dougherty | Chiropractor | 609 Houle Dr, Billings, MT 59102-4862 | 2007-02-12 |
| 1376944389 | Kevin Patrick Dougherty | Physical Therapist | 1991 Fordham Dr, Fayetteville, NC 28304-3773 | 2014-09-09 |
| 1922412279 | Kevin S. Dougherty | Emergency Medicine | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2014-06-15 |
| 1114188711 | Kevin Russell Dougherty | Internal Medicine | 85 Seymour St, Suite 719, Hartford, CT 06106-5501 | 2008-06-17 |
| 1922186998 | Kevin E Dougherty | Internal Medicine | 3100 Blue Ridge Rd, Ste. 300, Raleigh, NC 27612-8036 | 2006-11-01 |
| Street Address |
475 SHUNPIKE RD |
| City | CHATHAM |
| State | NJ |
| Zip Code | 07928-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104949064 | Kevin P. Dougherty, Dmd, Pa | Dentist | 475 Shunpike Rd, Chatham, NJ 07928-1528 | 2007-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410574 | Deborah Conway | Counselor | 10 Fairmount Ave., Chatham, NJ 07928 | 2019-04-24 |
| 1023537438 | Claire Elizabeth Shimchak | Specialist/Technologist | 188 Watchung Ave, Chatham, NJ 07928 | 2017-09-18 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1558769414 | Chatham Hills Subacute Care Center LLC | Skilled Nursing Facility | 17 Heathcliff Road, Chatham, NJ 07928 | 2014-12-09 |
| 1841509940 | Dimitry Polyakov | Physical Therapist | 13 Watchung Ave, Total Physical Therapy, Chatham, NJ 07928 | 2010-10-07 |
| 1851533731 | Robert Richard Springer | Internal Medicine | 18 Birch Hill Drive, Chatham, NJ 07928 | 2009-03-24 |
| 1104071208 | Robert M. Freda | Internal Medicine | 96 Meyersville Road, Chatham, NJ 07928 | 2008-11-18 |
| 1922261510 | Jennifer Brody | Physical Therapist | 7 Bartow Ln, Chatham, NJ 07928 | 2008-07-03 |
| 1720246655 | John Harry Krikorian | Pediatrics | 38 Peppermill Road, Chatham, NJ 07928 | 2008-05-28 |
| 1336269141 | Maryanne Carbone | Social Worker | 100 Noe Ave, Chatham, NJ 07928 | 2007-03-29 |
| Find all providers in zip 07928 | ||||
| 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 |
|---|---|---|---|---|
| 1326214628 | Catherine M Stuzynski | Dentist | 15 Stonewyck Drive, Chatham, NJ 07928-1321 | 2008-05-06 |
| 1144436445 | Douglas Sumpter Price Jr. | Dentist | 19144 Hwy 29 North, Chatham, VA 24531-1139 | 2007-05-15 |
| 1104949064 | Kevin P. Dougherty, Dmd, Pa | Dentist | 475 Shunpike Rd, Chatham, NJ 07928-1528 | 2007-04-07 |
| 1548393341 | Jonathan P Mundth | Dentist | 140 Main Street, Chatham, NJ 07928-2418 | 2007-03-13 |
| 1275640724 | Robert Thomas Montbach | Dentist | 720 Main Street, Chatham, MA 02633 | 2006-08-23 |
| 1962518860 | Jean Corriveau | Dentist | 1209 N. Main St., Chatham, IL 62629 | 2006-08-22 |
| 1578677175 | Domenic Riccobono | Dentist | 42 Kinderhook St, Chatham, NY 12037-1207 | 2006-08-19 |
| 1326062514 | Justin C Rivers | Dentist | 92 Crowell Rd, Chatham, MA 02633-1966 | 2006-07-27 |
| 1013984053 | Howard Charles Schwartz | Dentist | 466 Southern Blvd, Chatham, NJ 07928-1462 | 2006-03-08 |
| 1184024176 | Sara Rankin | Dentist | 390 Main St, Chatham, NJ 07928-2112 | 2014-08-27 |
| Find all providers in CHATHAM | ||||
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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.