NPI 1235112962 · live from the CMS NPI Registry
Justin Paul Dodge, M.D.
Radiology, Diagnostic Radiology in Tacoma, WA. National Provider Identifier 1235112962, active.
NPI record
| NPI | 1235112962 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 9040 Jackson Ave, Tacoma, WA 98431 |
| Practice phone | 253-968-4978 |
| Mailing address | 94-226 Haea Pl, Waipahu, HI 96797 |
| Enumerated | November 28, 2005 |
| Last updated | May 18, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | ME160738 (FL) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD-12669 (HI) |
| 2085N0700X | MD-12669 (HI) | |
| Radiology, Diagnostic Radiology | 2085R0202X | 036175261 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.