Active NPI
Caleb Dodson, RN
- Medical-Surgical Registered Nurse
- Cheyenne, WY
National Provider Identifier
1699104802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 32110
- Practice address
- 4415 E 10TH St
Cheyenne, WY 82001-6703 - Phone
- (307) 696-5377
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 32110 | WY | Primary |
Addresses
Primary practice location
4415 E 10TH St
Cheyenne, WY 82001-6703
Mailing address
4415 E 10TH St
Cheyenne, WY 82001-6703
Phone (307) 696-5377
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32110 | WY | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1699104802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 E 10TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820016703",
"telephone_number": "307-696-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 E 10TH ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820016703",
"telephone_number": "307-696-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "CALEB",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "WY",
"license": "32110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.