DR. KRISTEN MULLINS DOUGLAS DMD
NPI 1821409871
Dentist - Pediatric Dentistry in Gulfport, MS

Q: What is Kristen Douglas's NPI number?

The NPI number for Kristen Douglas is 1821409871. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Q: What is Kristen Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Douglas was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 13, 2014

1635 E PASS RD, GULFPORT, MS 39507(228) 896-5197(228) 896-5192 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2018, Aug 30, 2016, Jun 23, 2016 (3 updates tracked since 2016).

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About Dr. Kristen Mullins Douglas Dmd NPPES

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

DR. KRISTEN MULLINS DOUGLAS DMD (NPI 1821409871) is an individual pediatric dentistry provider in Gulfport, Mississippi, licensed in Mississippi (PEDO-534-17) and active in the NPI registry since May 2014. She maintains a secondary practice location in Ocean Springs.

NPPES Registry Identity

NPI1821409871

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. KRISTEN MULLINS DOUGLASCredential: DMD

Location Address1635 E PASS RDGulfport, MS 39507-3527

Mailing Address1635 E Pass RdGulfport, MS 39507-3527 · (222) 896-5197 · Fax (228) 896-5192

Phone(228) 896-5197

Fax(228) 896-5192

Sole ProprietorNo

Enumeration DateMay 13, 2014

Last NPPES UpdateMarch 28, 20183 updates tracked since enumeration

✔ NPI 1821409871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in MS · PEDO-534-17✔ Licensed in TN · 10230

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 3847-16 (MS)

1635 E PASS RD, Gulfport, MS 39507

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Secondary Practice Location 1

Location 13704 Bienville Blvd Ste C1Ocean Springs, MS 39564-5710 · Phone (228) 875-5501 · Fax (228) 875-5579

Other Identifiers 1

Medicaid04203063MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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.

COASTKIDS PEDIATRIC DENTISTRY, PLLC

Dentist (Pediatric Dentistry)

1635 E PASS RD
GULFPORT, MS 39507

Harrison County (228) 896-5197

REGGIE H. BROOM, D.M.D., P.A.

Dentist (Pediatric Dentistry)

1635 E PASS RD
GULFPORT, MS 39507

Harrison County (228) 896-5197

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 Kristen Douglas's NPI number?

The NPI number for Kristen Douglas is 1821409871. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Kristen Douglas located?

Kristen Douglas practices at 1635 E Pass Rd, Gulfport, MS 39507. The listed phone number is (228) 896-5197.

What is Kristen Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kristen Douglas accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 14 other insurers list Kristen 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 Kristen Douglas was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.