NANCY N DODGE MD NPI 1801849138

NPI Information

  • NPI: 1801849138
  • Provider Name: NANCY N DODGE, MD
  • Classification: Pediatrics - 2080P0008X
  • Specialization: Neurodevelopmental Disabilities
  • Entity Type: Individual
  • Address: 35 MICHIGAN ST NE
    SUITE 3003
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 267-2009

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NPI Details

Nancy N Dodge, MD is a neurodevelopmental disabilities pediatrics in Grand Rapids, MI. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. Nancy N Dodge, MD NPI is 1801849138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35 MICHIGAN ST NE
SUITE 3003
GRAND RAPIDS, MI
ZIP 49503-514
Phone: (616) 267-2009
Fax: (616) 267-2010

The enumeration date for this NPI number is 5/18/2006 and was last updated on 10/7/2022.

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
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics4301087152MICHIGANNo
22080P0008XPediatricsNeurodevelopmental Disabilities4301087152MICHIGANYes

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
14845247MEDICAIDMICHIGAN
23504115821OTHERMICHIGANBCBSM

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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