REX DANIEL DODGE PA-C NPI 1184297012

NPI Information

NPI: 1184297012
Provider Name: REX DANIEL DODGE, PA-C
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 615-4000
Get Directions

Rex Daniel Dodge, PA-C is a pediatric emergency medicine pediatrics in Fayetteville, NC. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Rex Daniel Dodge, PA-C NPI is 1184297012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304-424
Phone: (910) 615-4000

The NPI 1184297012 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 1/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	0010-13004	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0010-13004	OTHER	NORTH CAROLINA	NC MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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