Individual provider Active NPI

Dodd George Lange, FNP

  • Family Nurse Practitioner
  • College Station, TX
National Provider Identifier
1386717080
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
627638 Issued in TX
Practice address
700 Scott and White Dr
College Station, TX 77845-6441
Phone
(979) 207-0100
Fax
(979) 207-2161
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 627638 TX
Family Nurse Practitioner 363LF0000X 627638 TX Primary

Addresses

Primary practice location

700 Scott and White Dr
College Station, TX 77845-6441

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 1

IdentifierTypeStateIssuer
8Y3120OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000640 TX Practitioner - Nurse Practitioner 8820997208 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone (936) 291-3411

Hospital & facility affiliations

  • Bellville Medical Center Hospital, Bellville, TX, CCN 450253

Merit-based Incentive Payment System (MIPS)

Final score
99.43 of 100Reported as group
Quality
93.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Dec 24, 2021 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Jul 20, 2015 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care CurrentSince Jan 10, 2019 Accepting new patients
Next Level MV LLC CurrentSince Jan 10, 2019 Accepting new patients
Concord Medical Group PLLC Current Accepting new patients
Next Level MV LLC CurrentSince Jan 10, 2019 Accepting new patients
Nluc PLLC Current Accepting new patients
Nluc PLLC CurrentSince Jan 10, 2019 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

700 Scott and White Dr
College Station, TX 77845
Phone (979) 207-0100

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

3500 Gaston Ave
Dallas, TX 75246

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1386717080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SCOTT AND WHITE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456441",
            "telephone_number": "979-207-0100",
            "fax_number": "979-207-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "DODD",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "627638",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "627638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y3120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.