JASON RYAN DOUCETTE (NPI# 1902834674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902834674 |
| Entity Type | Individual |
| Full Name | JASON RYAN DOUCETTE |
| Credential | DMD |
| Practice Address |
120 Mcfaul Way Zephyr Cove NV 89448 |
| Mailing Address |
Po Box 10408 Zephyr Cove NV 89448-2408 |
| Practice Telephone | 7755885183 |
| Mailing Telephone | 7755885183 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3476 | NV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | TAX ID | 88-0434942 | 01 |
| Street Address |
120 MCFAUL WAY |
| City | ZEPHYR COVE |
| State | NV |
| Zip Code | 89448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477700581 | Joseph Anthony Shilkofski | Dentist | 120 Mcfaul Way, Zephyr Cove, NV 89448-2408 | 2008-08-20 |
| 1821264896 | Scott Maxmillian Forvilly | Dentist | 120 Mcfaul Way, Zephyr Cove, NV 89448 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952823601 | Ascend Medical, Inc | Durable Medical Equipment & Medical Supplies | 195 Us Hwy 50, 201, Zephyr Cove, NV 89448 | 2017-07-14 |
| 1306153051 | St & T Research | Specialist | 88 Mcfaul Way, Zephyr Cove, NV 89448 | 2010-09-01 |
| 1578776266 | Jack L. Harrington | Dentist | 3790 Highway 395, Sutie 103, Carson City, NV 89448 | 2007-05-08 |
| 1356476527 | Elizabeth Erin Eisenlohr | Marriage & Family Therapist | 310 Dorla Ct, Suite 212, Zephyr Cove, NV 89448 | 2007-02-21 |
| 1184732729 | Robert R Sanfilippo | Counselor | 310 Dorla Court, Suite 201, Zephyr Cove, NV 89448 | 2006-08-25 |
| 1487653655 | Randy Charles Watson | Orthopaedic Surgery | 212 Elks Point Road, Suite 200, Zephyr Cove, NV 89448 | 2005-07-19 |
| 1801929534 | Diana L. Brown | Marriage & Family Therapist | 310 Dorla Court, Suite 201, Zephyr Cove, NV 89448 | 2007-03-13 |
| 1154493427 | Chad Edward Maclachlan | Orthopaedic Surgery | 212 Elks Point Rd, Suite 200, Zephyr Cove, NV 89448 | 2006-11-14 |
| 1073684908 | Tahoe-douglas Fire Protection District | Ambulance | 193 Elks Point Rd, Zephyr Cove, NV 89448-0919 | 2006-11-13 |
| 1629159264 | Gerald Scott Welker | Surgery | 72 High St #23, Suite 101, Zephyr Cove, NV 89448-2622 | 2006-10-18 |
| Find all providers in zip 89448 | ||||
| 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 |
|---|---|---|---|---|
| 1821264896 | Scott Maxmillian Forvilly | Dentist | 120 Mcfaul Way, Zephyr Cove, NV 89448 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302400 | Margaret Rodriguez | Dentist | 3773 Baker Ln Ste 6, Reno, NV 89509-5490 | 2020-10-07 |
| 1760096614 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 55 S Valle Verde Dr Ste 250, Henderson, NV 89012-3479 | 2020-09-08 |
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1790303840 | Harrison Luu | Dentist | 4250 Simmons St Ste 100, North Las Vegas, NV 89032-0769 | 2020-07-06 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1700406618 | Joshua M. Ignatowicz Dmd PC | Dentist | 1070 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89012-6019 | 2020-04-21 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | ZEPHYR COVE |
| Zip Code | 89448 |
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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.