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DR. JAMES ALVIN DOUGLAS D.D.S.
NPI 1619144672
Dentist - General Practice in South Bend, IN

Active since May 09, 2008PECOS Enrolled
820 E COLFAX AVE, SOUTH BEND, IN 46617(574) 289-5776(574) 289-5777 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Alvin Douglas D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES ALVIN DOUGLAS D.D.S. (NPI 1619144672) is an individual general practice provider in South Bend, Indiana, licensed in Indiana (12006702A) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619144672
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JAMES ALVIN DOUGLASCredential: D.D.S.
Location Address820 E COLFAX AVESouth Bend, IN 46617-2804
Mailing Address820 E Colfax AveSouth Bend, IN 46617-2804 · (574) 289-5776 · Fax (574) 289-5777
Phone(574) 289-5776
Fax(574) 289-5777
Sole ProprietorYes
Enumeration DateMay 9, 2008
✔ NPI 1619144672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12006702A
Definition

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.

820 E COLFAX AVE, South Bend, IN 46617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Alvin Douglas D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER CONROY DDS
Dentist (General Practice)
820 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 232-2992
DR. MARK WILLAM BANTZ DDS
Dentist (General Practice)
820 E COLFAX AVE
SOUTH BEND, IN 46617
St. Joseph County (574) 234-4117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Douglas's NPI number?

The NPI number for James Douglas is 1619144672. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is James Douglas located?

James Douglas practices at 820 E Colfax Ave, South Bend, IN 46617. The listed phone number is (574) 289-5776.

What is James Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is James Douglas enrolled in Medicare?

Yes. James Douglas is registered in the Medicare PECOS enrollment system.

What insurance does James Douglas accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list James Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Douglas was last updated on May 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.