Active NPI
Michel J Dodard, MD
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1083677066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME50681
- Practice address
- 1475 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1002 - Phone
- (305) 243-7249
- Fax
- (305) 243-8470
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME50681 | FL | Primary |
Addresses
Primary practice location
1475 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1002
Mailing address
1475 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1002
Phone (305) 243-7249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0488461-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME50681 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Past | Accepting new patients |
Interoperability endpoints
- mdodard5456@direct.med.miami.edu
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Miami, FL
- NPI 1689624108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1083677066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-7249",
"fax_number": "305-243-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"address_2": "BOX 016960 M851",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-7249",
"fax_number": "305-243-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODARD",
"first_name": "MICHEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME50681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0488461-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.