NPI 1386358745 · live from the CMS NPI Registry
Ian William Dodge, RDN, LD
Dietitian, Registered in Las Vegas, NV. National Provider Identifier 1386358745, active.
NPI record
| NPI | 1386358745 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3085 E Flamingo Rd Ste A, Las Vegas, NV 89121 |
| Practice phone | 844-609-4623 |
| Enumerated | January 10, 2023 |
| Last updated | January 10, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 40457-DI-0 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.