KEVIN DEWAYNE DODD JR. IDMT
NPI 1194607168
Military Health Care Provider - Independent Duty Medical Technicians in Travis Afb, CA

Active since July 22, 2025
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-3825 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Dewayne Dodd Jr. Idmt NPPES

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

KEVIN DEWAYNE DODD JR. IDMT (NPI 1194607168) is an individual independent duty medical technicians provider in Travis Afb, California and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1194607168
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameKEVIN DEWAYNE DODD JR.Credential: IDMT
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809
Sole ProprietorNo
Enumeration DateJuly 22, 2025
Last NPPES UpdateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
NPI 1194607168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
101 BODIN CIR, Travis Afb, CA 94535

Other Providers at the Same Location NPPES 20

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

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535

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 Kevin Dodd's NPI number?

The NPI number for Kevin Dodd is 1194607168. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Kevin Dodd located?

Kevin Dodd practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3825.

What is Kevin Dodd's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Kevin Dodd was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.