Individual provider Active NPI

Jason Boyd Dodder, DPM

  • Foot & Ankle Surgery Podiatrist
  • Anna, TX
National Provider Identifier
1790744951
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3040 Issued in TX
Practice address
450 N Standridge Blvd Ste 202
Anna, TX 75409-3443
Phone
(972) 905-3919
NPI assigned
Mar 17, 2006
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3040 TX Primary
Podiatrist 213E00000X 3040 TX

Addresses

Primary practice location

450 N Standridge Blvd Ste 202
Anna, TX 75409-3443

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

Other practice location 1

101 N US Highway 75
Denison, TX 75020-1544
Phone (972) 905-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210222002548 TX Practitioner - Podiatry 6305834276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

604 W White St
Suite a
Anna, TX 75409-3506
Phone (972) 905-3919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as individual
Quality
63.91
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue393
Removal or shaving of skin growth215
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292NMMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Partners PLLC Podiatrist CurrentSince Jan 1, 2021 Accepting new patients
Interventional Partners PLLC Podiatrist CurrentSince Jan 1, 2021 Accepting new patients

Locations

450 N Standridge Blvd
Ste 202
Anna, TX 75409
Phone (903) 218-0628

604 W White St
Ste A
Anna, TX 75409
Phone (903) 364-4525

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

2150 N Josey Ln
Carrollton, TX 75006
Phone (972) 242-0660

8135 Forest Ln
Dallas, TX 75230
Phone (469) 850-5760

101 N US Highway 75
Denison, TX 75020
Phone (903) 463-1000

5575 Warren Pkwy
Ste 101
Frisco, TX 75034
Phone (972) 712-4161

251 W Medical Center Blvd
Ste 200
Webster, TX 77598
Phone (214) 838-6440

Interoperability endpoints

  • Direct secure messaging: jason.dodder.1@2477.direct.athenahealth.com
  • Direct secure messaging: jdodder7705@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1790744951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N STANDRIDGE BLVD STE 202",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "754093443",
            "telephone_number": "972-905-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N US Highway 75",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750201544",
            "country_code": "US",
            "telephone_number": "972-905-3919",
            "fax_number": "833-974-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODDER",
        "first_name": "JASON",
        "middle_name": "BOYD",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3040",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anna, TX

Sources for this page

Verify at the official NPI Registry.