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KEITH BRIAN DOUTS JR. DDS
NPI 1700174299
Dentist in Hammond, IN

Active since July 18, 2011PECOS Enrolled
6920 INDIANAPOLIS BLVD, HAMMOND, IN 46324(219) 763-8112(219) 844-9006 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Keith Brian Douts Jr. Dds NPPES

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

KEITH BRIAN DOUTS JR. DDS (NPI 1700174299) is an individual dentist in Hammond, Indiana, licensed in Indiana (12011663A) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700174299
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEITH BRIAN DOUTS JR.Credential: DDS
Location Address6920 INDIANAPOLIS BLVDHammond, IN 46324-2206
Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-3251
Phone(219) 763-8112
Fax(219) 844-9006
Sole ProprietorNo
Enumeration DateJuly 18, 2011
Last NPPES UpdateJanuary 4, 2017
✔ NPI 1700174299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12011663A
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6920 INDIANAPOLIS BLVD, Hammond, IN 46324
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Other Identifiers 1

Medicaid201032760IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., BEST Life, Blue Cross and Blue Shield of Montana 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)

Keith Brian Douts Jr. Dds 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 46324 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 7

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

DR. VANESSA R FOSTER M.D.
Obstetrics & Gynecology
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Lake County (219) 763-8112
DR. LAWRENCE LYN ADAMS D.D.S.
Dentist (General Practice)
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Lake County (219) 763-8112
DR. LESLIE JAMES ALLISON MD
Family Medicine
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Lake County (219) 763-8112
MARY T ELLIS CNM
Advanced Practice Midwife
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Lake County (219) 763-8112
DR. ADITYA SHAH M.D.
Family Medicine
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Lake County (219) 763-8112
MR. CESAR MIKELS LABITAN JR. MD
Family Medicine
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Lake County (219) 763-8112
MS. CLAUDETTE R DANDRIDGE M.D.
Specialist
6920 INDIANAPOLIS BLVD
HAMMOND, IN 46324
Lake County (219) 763-8112

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 Keith Douts's NPI number?

The NPI number for Keith Douts is 1700174299. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Keith Douts located?

Keith Douts practices at 6920 Indianapolis Blvd, Hammond, IN 46324. The listed phone number is (219) 763-8112.

What is Keith Douts's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Keith Douts enrolled in Medicare?

Yes. Keith Douts is registered in the Medicare PECOS enrollment system.

What insurance does Keith Douts accept?

Health plans from Antidote Health Plan of Ohio, Inc., BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Keith Douts 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 Keith Douts was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.