Active NPI
Karen Lynn Dodson, LAC CH DOM
- Acupuncturist
- Rockford, IL
National Provider Identifier
1720208960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 197055
- Practice address
- 4873 Manhattan Dr
Rockford, IL 61108-2265 - Phone
- (815) 977-5876
- Fax
- (855) 509-0419
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 197055 | WI | Primary |
Addresses
Primary practice location
4873 Manhattan Dr
Rockford, IL 61108-2265
Mailing address
11809 US Highway 20
Hampshire, IL 60140-5000
Phone (608) 346-0471
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 |
|---|---|---|---|
| 197055 | WI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Pain Treatment Center LLC | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Beloit, WI
- NPI 1992304588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1720208960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11809 US HIGHWAY 20",
"city": "HAMPSHIRE",
"state": "IL",
"postal_code": "601405000",
"telephone_number": "608-346-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4873 MANHATTAN DR",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082265",
"telephone_number": "815-977-5876",
"fax_number": "855-509-0419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODSON",
"first_name": "KAREN",
"middle_name": "LYNN",
"credential": "LAC CH DOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2023-06-08",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "197055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.