Jack Levern Dodd, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-17136 Issued in IA

Practice address

1619 S High Ave
Ames, IA 50010-8055

Phone

(515) 232-5811

NPI assigned

Sep 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Iowa, RJ & L Carver College of Medicine, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Richmond CenterGroup PAC ID 2365346822, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Richmond Center

  • Mental Health Counselor
  • Ames, IA
  • NPI 1194837286

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Center Associates

  • Cognitive & Behavioral Psychologist
  • Marshalltown, IA
  • NPI 1942251160
  NPD (past)
• Community and Family Resources

  • Substance Abuse Rehabilitation Facility
  • Fort Dodge, IA
  • NPI 1366507790
  NPD (past)
• Magellan Health Services of Arizona, Inc

  • Case Management Agency
  • Gilbert, AZ
  • NPI 1194965145
  NPD (past)
• Vo of Arizona, Inc.

  dba ValueOptions Laboratory Services

  • Clinical Medical Laboratory
  • Glendale, AZ
  • NPI 1447458682
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1417942434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 PINEHURST DR",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500104561",
            "telephone_number": "515-292-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S HIGH AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108055",
            "telephone_number": "515-232-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015925",
            "country_code": "US",
            "telephone_number": "907-458-5525",
            "fax_number": "907-458-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODD",
        "first_name": "JACK",
        "middle_name": "LEVERN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-17136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Devore, ARNP
• Andrea D Dickerson, IADC, LMFT
• Darren Diehl, MSPT
• Dana Marie Diggins, LMSW
• Dignity and Worth Wellness LLC
• Kenneth L Dodge, PH.D.
• Dawn Doerr-Johnson
• Amy Dombrowski, SOCIAL WORKER
• Donald L Good DDS PC
• Sondra Donald, PHARMD

• Psychiatry Physician in Ames, IA
• Providers in Ames, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.