Active NPI
Aren S Dodge, RD LS CDCES
- Registered Dietitian
- Lexington, SC
National Provider Identifier
1811935968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 923318
- Practice address
- 101 Winterberry Loop
Lexington, SC 29072 - Phone
- (304) 573-8496
- NPI assigned
- Jun 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Registered Dietitian | 133V00000X | 923318 | Primary |
Addresses
Primary practice location
101 Winterberry Loop
Lexington, SC 29072
Mailing address
101 Winterberry Loop
Lexington, SC 29072
Phone (304) 573-8496
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1811935968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WINTERBERRY LOOP",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "304-573-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WINTERBERRY LOOP",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "304-573-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "AREN",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "RD LS CDCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "923318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.