Active NPI
Peter R Dodds, M.D.
- Specialist
- Norwalk, CT
National Provider Identifier
1801988936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 23932
- Practice address
- 12 Elmcrest Ter
Norwalk, CT 06850-3937 - Phone
- (203) 853-4200
- Fax
- (203) 854-9285
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 23932 | CT | Primary |
| Urology Physician | 208800000X | 023932 | CT |
Addresses
Primary practice location
12 Elmcrest Ter
Norwalk, CT 06850-3937
Mailing address
12 Elmcrest Ter
Norwalk, CT 06850-3937
Phone (203) 853-4200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020664 | Other | CT | HEALTHNET |
| 340003226 | Other | CT | RAILROAD MEDICARE |
| 4242056 | Other | CT | AETNA |
| ZS393 | Other | CT | OXFORD HEALTH PLAN |
| 239320 | Other | CT | CONNECTICARE |
| 010023932CT01 | Other | CT | ANTHEM BC BS |
| 2243416002 | Other | CT | CIGNA |
| 001110931 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23932 | CT | MD | Specialist |
| 023932 | CT | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1801988936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ELMCREST TER",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503937",
"telephone_number": "203-853-4200",
"fax_number": "203-854-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ELMCREST TER",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503937",
"telephone_number": "203-853-4200",
"fax_number": "203-854-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODDS",
"first_name": "PETER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "23932",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "023932",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "020664",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340003226",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4242056",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "ZS393",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "239320",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "010023932CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2243416002",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001110931",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.