Individual provider Active NPI

Clinton S Dodge, D.C.

  • Chiropractor
  • Batesville, IN
National Provider Identifier
1477599306
Registry record updated Feb 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002136A Issued in IN
Practice address
279 Central Ave
Batesville, IN 47006-8917
Phone
(812) 932-3999
Fax
(812) 932-3998
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transformational Healing Center Inc CurrentSince Sep 20, 2022 Accepting new patients

Locations

279 Central Ave
Batesville, IN 47006
Phone (812) 932-3999

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002136A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

279 Central Ave
Batesville, IN 47006-8917

Mailing address

8902 N Meridian St Ste 101
Indianapolis, IN 46260-5306
Phone (317) 848-8048

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2020.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580515200000",
    "number": "1477599306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-848-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 CENTRAL AVE",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068917",
            "telephone_number": "812-932-3999",
            "fax_number": "812-932-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "CLINTON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-02-01",
        "certification_date": "2020-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002136A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.