Active NPI
Charles W Dodson, OTR
- Occupational Therapist
- Aurora, CO
National Provider Identifier
1407986276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1663
- Practice address
- 2530 S Parker Rd Ste 400
Aurora, CO 80014-1623 - Phone
- (303) 306-2869
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1663 | CO | Primary |
Addresses
Primary practice location
2530 S Parker Rd Ste 400
Aurora, CO 80014-1623
Mailing address
5505 S Harlan St
Denver, CO 80123-0897
Phone (720) 283-1103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017410 | Other | KAISER-COMMERCIAL NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1663 | CO | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1407986276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 S HARLAN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "801230897",
"telephone_number": "720-283-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 S PARKER RD STE 400",
"city": "AURORA",
"state": "CO",
"postal_code": "800141623",
"telephone_number": "303-306-2869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "1663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "017410",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.