Active NPI
Michael Joseph Dodd, MD
- Ophthalmology Physician
- Prince Frederick, MD
National Provider Identifier
1407807340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D16760
- Practice address
- 800 Prince Frederick Blvd
Prince Frederick, MD 20678 - Phone
- (410) 535-2270
- Fax
- (410) 535-9549
- NPI assigned
- May 15, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D16760 | MD | Primary |
Addresses
Primary practice location
800 Prince Frederick Blvd
Prince Frederick, MD 20678
Mailing address
800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185221300 | Medicaid | MD | |
| C0740001 | Other | FED BC |
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 |
|---|---|---|---|
| D16760 | MD | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1407807340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PRINCE FREDERICK BLVD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783145",
"telephone_number": "410-535-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRINCE FREDERICK BLVD",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "20678",
"telephone_number": "410-535-2270",
"fax_number": "410-535-9549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D16760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185221300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED BC",
"identifier": "C0740001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.