Dr Kristen Mullins Douglas, DMD - Dentist in Gulfport, MS

Dr Kristen Mullins Douglas, DMD is a Dentist - Pediatric Dentistry based in Gulfport, Mississippi. Dr Kristen Mullins Douglas is licensed to practice in Mississippi (license number PEDO-534-17) and her current practice location is 1635 E Pass Rd, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at (228) 896-5197.

NPI number for Dr Kristen Mullins Douglas is 1821409871 and her current mailing address is 1635 E Pass Rd, Gulfport, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821409871.

Contact Information

Dr Kristen Mullins Douglas, DMD
1635 E Pass Rd,
Gulfport, MS 39507-3527
(228) 896-5197
(228) 896-5192

Map and Direction




Healthcare Provider's Profile

Full NameDr Kristen Mullins Douglas
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location1635 E Pass Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1821409871
  • Provider Enumeration Date: 05/13/2014
  • Last Update Date: 03/28/2018

Medical Identifiers

Medical identifiers for Dr Kristen Mullins Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821409871NPI-NPPES
04203063MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 3847-16 (Mississippi)Secondary
1223P0221XDentist - Pediatric Dentistry 10230 (Tennessee)Secondary
1223P0221XDentist - Pediatric Dentistry PEDO-534-17 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristen Mullins Douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kristen Mullins Douglas, DMD
1635 E Pass Rd,
Gulfport, MS 39507-3527

Ph: (222) 896-5197
Dr Kristen Mullins Douglas, DMD
1635 E Pass Rd,
Gulfport, MS 39507-3527

Ph: (228) 896-5197

Reviews and Comments


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Mr. Frederic Bertrand Dunn, DDS
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Dr. Mark D Stringer, DMD
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Phone: 228-896-6973    Fax: 228-897-3658
Brandy L Hyde, D.D.S.
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Phone: 228-896-7404    Fax: 228-896-6048
Reggie Harris Broom, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 1635 E Pass Road, Gulfport, MS 39507
Phone: 228-896-5197    Fax: 228-896-5192
Timothy E Mccabe, D.D.S.
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Medicare: Medicare Enrolled
Practice Location: 512 Cowan Rd, Gulfport, MS 39507
Phone: 228-896-7404    Fax: 228-896-6048

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.