Individual provider Active NPI

Jacob Gerald Dodd, DO

  • Dermatology Physician
  • Anchorage, AK
National Provider Identifier
1609396845
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
241077 Issued in AK
Practice address
636 Barrow St
Anchorage, AK 99501-3631
Phone
(907) 276-1315
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1928 NE
Dermatology Physician 207N00000X 241077 AK Primary

Addresses

Primary practice location

636 Barrow St
Anchorage, AK 99501-3631

Mailing address

636 Barrow St
Anchorage, AK 99501-3631
Phone (907) 276-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20250804002951 AK Practitioner - Dermatology 9436667128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Janine D Miller MD IncGroup PAC ID 1658802343, 4 clinicians

Practice addresses (Care Compare)

4129 Bartlett St
Homer, AK 99603-7002
Phone (907) 276-1315

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11
Removal of skin lesions118
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1928NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Janine D Miller MD Inc Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Thomas P Senter Apc Dermatology CurrentSince Aug 17, 2025 Accepting new patients

Locations

636 Barrow St
Anchorage, AK 99501
Phone (907) 276-1315

4129 Bartlett St
Homer, AK 99603
Phone (907) 235-7000

Organizations & group practices 2

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1609396845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 BARROW ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013631",
            "telephone_number": "907-276-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 BARROW ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013631",
            "telephone_number": "907-276-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "JACOB",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "1928",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "241077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.