1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Dentist
  6. NPI Profile

DAVID MATTHEW DODGE DMD
NPI 1376011486
Dentist in Longview, WA

Active since November 06, 2018PECOS Enrolled
1461 BROADWAY STREET, SUITE A, LONGVIEW, WA 98632(855) 433-6825 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2019, Nov 6, 2018 (2 updates tracked since 2018).

About David Matthew Dodge Dmd NPPES

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

DAVID MATTHEW DODGE DMD (NPI 1376011486) is an individual dentist in Longview, Washington, licensed in Washington (DE60890263) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376011486
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDAVID MATTHEW DODGECredential: DMD
Location Address1461 BROADWAY STREET, SUITE ALongview, WA 98632-3724
Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611 · (855) 433-6825
Phone(855) 433-6825
Sole ProprietorNo
Enumeration DateNovember 6, 2018
Last NPPES UpdateJanuary 3, 20192 updates tracked since enumeration
✔ NPI 1376011486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in WA · DE60890263✔ Licensed in WA · 60890263
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1461 BROADWAY STREET, Longview, WA 98632
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Matthew Dodge Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dodge's NPI number?

The NPI number for David Dodge is 1376011486. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Where is David Dodge located?

David Dodge practices at 1461 Broadway Street Suite A, Longview, WA 98632. The listed phone number is (855) 433-6825.

What is David Dodge's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Dodge enrolled in Medicare?

Yes. David Dodge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Dodge was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.