Active NPI
Danielle S Dodd, CRNA
- Anesthesiology Physician
- Saint Louis, MO
National Provider Identifier
1366613234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2001017700
- Practice address
- 2345 Dougherty Ferry Rd
St. Louis, MO 63122 - Phone
- (314) 966-9100
- NPI assigned
- Mar 18, 2008
- Last updated
- Sep 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2001017700 | MO | Primary |
Addresses
Primary practice location
2345 Dougherty Ferry Rd
St. Louis, MO 63122
Mailing address
13523 Barrett Parkway Dr
Ste 210
Ballwin, MO 63021-3802
Phone (314) 775-2816
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001017700 | MO | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1366613234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13523 BARRETT PARKWAY DR",
"address_2": "STE 210",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630213802",
"telephone_number": "314-775-2816",
"fax_number": "314-775-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63122",
"telephone_number": "314-966-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "DANIELLE",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2001017700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.