DR. JUSTIN PAUL DODGE M.D. NPI 1235112962

NPI Information

  • NPI: 1235112962
  • Provider Name: DR. JUSTIN PAUL DODGE, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9040 JACKSON AVE
    TACOMA, WA
    ZIP 98431
  • Phone: (253) 968-4978

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NPI Details

DR. Justin Paul Dodge, M.D. is a diagnostic radiology radiology in Tacoma, WA with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Justin Paul Dodge, M.D. NPI is 1235112962. 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:

9040 JACKSON AVE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-4978

The NPI 1235112962 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 11/28/2005 and was last updated on 9/5/2025.

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
12085R0202XRadiologyDiagnostic RadiologyME160738FLORIDANo
22085R0202XRadiologyDiagnostic Radiology036175261ILLINOISNo
32085N0700XRadiologyNeuroradiologyMD-12669HAWAIINo
42085R0202XRadiologyDiagnostic RadiologyMD-12669HAWAIIYes

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: 11/21/2025

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