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JEFFREY DODD MD A PROFESSIONAL CORPORATION NPI 1699966358


NPI Information

NPI: 1699966358
Provider Name: JEFFREY DODD MD A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
10051 LAKE AVE
SUITE 3
TRUCKEE, CA
ZIP 96161
Phone: (530) 587-7461
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JEFFREY DODD MD A PROFESSIONAL CORPORATION is a specialist in Truckee, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JEFFREY DODD MD A PROFESSIONAL CORPORATION NPI is 1699966358. The provider is registered as an organization entity type.

The provider's business location address is:

10051 LAKE AVE
SUITE 3
TRUCKEE, CA
ZIP 96161-825
Phone: (530) 587-7461
Fax: (530) 587-1149

The provider's authorized official is Laura Small .
The authorized official title is Manager and has the following contact phone number (530) 587-7461.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 5/13/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesA81163CALIFORNIANo
2174400000XSpecialistA81163CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ31109ZMEDICARE PIN
21699966358OTHERBLUE CROSS
3P00089905OTHERRAILROAD MEDICARE
4H98456MEDICARE UPINCALIFORNIA
55245670001MEDICARE NSC
600A811630MEDICAIDCALIFORNIA

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

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