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DAVID KIRK DODSON MD
NPI 1164698619
General Practice in Plymouth, MN

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
28 NATHAN LN N, PLYMOUTH, MN 55441(763) 588-7099(763) 522-2222 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2023, Jan 3, 2023, Feb 3, 2021 and 1 more (4 updates tracked since 2018).

About David Kirk Dodson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID KIRK DODSON MD (NPI 1164698619) is an individual general practice provider in Plymouth, Minnesota, licensed in Minnesota (52435) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1164698619
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDAVID KIRK DODSONCredential: MD
Location Address28 NATHAN LN NPlymouth, MN 55441-6306
Mailing Address28 Nathan Ln NPlymouth, MN 55441-6306 · (763) 588-7099 · Fax (763) 522-2222
Phone(763) 588-7099
Fax(763) 522-2222
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 5, 2008
Last NPPES UpdateFebruary 15, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1164698619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MN · 52435
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 52435 (MN)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
28 NATHAN LN N, Plymouth, MN 55441
Open in Google Maps ↗

Other Identifiers 1

Other20192MN · Resident Permit

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Kirk Dodson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173771615
PECOS Enrollment IDI20120907000289
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
489 services43 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAM FAMILY DENTISTRY
Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 544-0270
BIQ DENTAL PLLC
Clinic/Center (Dental)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 325-4555
DODSON PAIN CONSULTANTS PA CORP
Clinic/Center
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 588-7099
WILLOW GROVE FAMILY DENTAL
Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 544-5555
WILLOW CREEK FAMILY DENTAL
Clinic/Center (Dental)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 545-1885
DR. NEIL SHELDON GILBERT D.D.S.
Dentist (General Practice)
28 NATHAN LN N
PLYMOUTH, MN 55441
Hennepin County (763) 541-4898

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Dodson's NPI number?

The NPI number for David Dodson is 1164698619. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is David Dodson located?

David Dodson practices at 28 Nathan Ln N, Plymouth, MN 55441. The listed phone number is (763) 588-7099.

What is David Dodson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is David Dodson enrolled in Medicare?

Yes. David Dodson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Dodson was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.