DR. PETER CHARLES DODENHOFF DO, PC
NPI 1174544928
Family Medicine in Eastpointe, MI

Active since July 21, 2006
21811 KELLY RD, SUITE 107, EASTPOINTE, MI 48021(586) 773-0200(586) 773-9803 Get Directions Write a Review

NPPES record last updated: December 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter Charles Dodenhoff Do, Pc NPPES

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

DR. PETER CHARLES DODENHOFF DO, PC (NPI 1174544928) is an individual family medicine provider in Eastpointe, Michigan, licensed in Michigan (5101006192) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174544928
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PETER CHARLES DODENHOFFCredential: DO, PC
Location Address21811 KELLY RD, SUITE 107Eastpointe, MI 48021
Mailing Address21811 Kelly Rd, Suite 107Eastpointe, MI 48021 · (586) 773-0200 · Fax (586) 773-9803
Fax(586) 773-9803
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 14, 2009
NPI 1174544928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101006192
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21811 KELLY RD, Eastpointe, MI 48021

Other Identifiers 4

Medicaid1075599110MI
Other55033895MI · Bcbs
Medicare ID-Type Unspecified55033898021
Medicare UPINE26474

Other Providers at the Same Location NPPES 11

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

Internal Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Pharmacist (Geriatric)
21811 KELLY RD, SUITE 103
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Family Medicine
21811 KELLY RD
EASTPOINTE, MI 48021
Non-Pharmacy Dispensing Site
21811 KELLY RD
EASTPOINTE, MI 48021

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 Peter Dodenhoff's NPI number?

The NPI number for Peter Dodenhoff is 1174544928. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Peter Dodenhoff located?

Peter Dodenhoff practices at 21811 Kelly Rd Suite 107, Eastpointe, MI 48021. The listed phone number is (586) 773-0200.

What is Peter Dodenhoff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Peter Dodenhoff was last updated on December 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.