Organization Active NPI

Dodd Surgical Assisting, LLC

  • Surgical Assistant
  • Ball Ground, GA
National Provider Identifier
1215307442
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
DODD SURGICAL ASSISTING, LLC
Practice address
234 Westwind Dr
Ball Ground, GA 30107-7722
Phone
(770) 205-1233
Fax
(770) 205-0483
NPI assigned
Sep 30, 2015
Last updated
Sep 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Dewey Dodd, CSANPI 1962488510
Title
Certified Surgical Assistant
Phone
(770) 205-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X NU Primary

Addresses

Primary practice location

234 Westwind Dr
Ball Ground, GA 30107-7722

Mailing address

234 Westwind Dr
Ball Ground, GA 30107-7722
Phone (770) 205-1233

National Provider Directory

National Provider Directory
Tax ID family
Dodd Surgical Assisiting2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1215307442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WESTWIND DR",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301077722",
            "telephone_number": "770-205-1233",
            "fax_number": "770-205-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WESTWIND DR",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301077722",
            "telephone_number": "770-205-1233",
            "fax_number": "770-205-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODD SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEWEY",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "770-205-1233",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ball Ground, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.