DR. JOHN R DODGE DMD,MS
NPI 1629190194
Dentist - Periodontics in Boulder, CO

Q: What is John Dodge's NPI number?

The NPI number for John Dodge is 1629190194. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is John Dodge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for John Dodge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 04, 2007PECOS Enrolled

1440 28TH ST, SUITE 1, BOULDER, CO 80303(303) 447-0460(303) 447-9578 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. John R Dodge Dmd,ms NPPES

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

DR. JOHN R DODGE DMD,MS (NPI 1629190194) is an individual periodontics provider in Boulder, Colorado, licensed in Colorado (CO7489) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629190194

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JOHN R DODGECredential: DMD,MS

Location Address1440 28TH ST, SUITE 1Boulder, CO 80303-1030

Mailing Address1440 28th St, Suite 1Boulder, CO 80303-1030 · (303) 447-0460 · Fax (303) 447-9578

Phone(303) 447-0460

Fax(303) 447-9578

Sole ProprietorNo

Enumeration DateApril 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629190194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in CO · CO7489

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1440 28TH ST, Boulder, CO 80303

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John R Dodge Dmd,ms 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 80303 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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.

FLATIRONS OPHTHALMOLOGY

Ophthalmology

1440 28TH ST, SUITE 2
BOULDER, CO 80303

Boulder County (303) 402-1000

MR. ROBERT JAMES KAMMER JR. DDS

Dentist (General Practice)

1440 28TH ST, SUITE 3
BOULDER, CO 80303

Boulder County (303) 443-2441

DR. IAN MICHAEL KOTT DDS

Dentist (Pediatric Dentistry)

1440 28TH ST, SUITE 1
BOULDER, CO 80303

Boulder County (720) 201-3869

DANIEL B. FOLEY, D.D.S., P.C.

Oral & Maxillofacial Surgery

1440 28TH ST, SUITE 2
BOULDER, CO 80303

Boulder County (303) 444-2255

COLORADO SLEEP COMPANY

Clinic/Center (Sleep Disorder Diagnostic)

1440 28TH ST, STE 4
BOULDER, CO 80303

Boulder County (303) 395-5548

ROCKY MOUNTAIN RETINA ASSOCIATES INC

Ophthalmology

1440 28TH ST, SUITE 3
BOULDER, CO 80303

Boulder County (303) 900-8507

DR. GREGG T ROGERS DDS

Dentist (Periodontics)

1440 28TH ST, SUITE 1
BOULDER, CO 80303

Boulder County (303) 447-0460

IAN M KOTT DDS PC

Dentist

1440 28TH ST, SUITE 1
BOULDER, CO 80303

Boulder County (303) 938-1000

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 John Dodge's NPI number?

The NPI number for John Dodge is 1629190194. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is John Dodge located?

John Dodge practices at 1440 28th St Suite 1, Boulder, CO 80303. The listed phone number is (303) 447-0460.

What is John Dodge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is John Dodge enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Dodge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.