Individual provider Active NPI

Daniel Paul Dodd, O.D.

  • Optometrist
  • Alamosa, CO
National Provider Identifier
1740324979
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2186 Issued in CO
Practice address
3333 Clark St
Alamosa, CO 81101-2050
Phone
(719) 589-1500
Fax
(719) 587-3809
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
678MTMDProfessional Counselor
2186COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates of Lewistown PC Optometrist PastSince Aug 1, 2005 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2186 CO Primary
Optometrist 152W00000X 678 MT

Addresses

NPPES NPI Registry

Primary practice location

3333 Clark St
Alamosa, CO 81101-2050

Mailing address

3333 Clark St
Alamosa, CO 81101-2050
Phone (719) 589-1500

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
C448958OtherCOMEDICARE PTAN
14377276MedicaidCO
678OtherMTSTATE OF MONTANA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2012.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1740324979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CLARK ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012050",
            "telephone_number": "719-589-1500",
            "fax_number": "719-587-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CLARK ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012050",
            "telephone_number": "719-589-1500",
            "fax_number": "719-587-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2186",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C448958",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14377276",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA",
            "identifier": "678",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.