NPPES file of Aug 9, 2026

Jake Daniel Dodge, DO

Family Medicine Physician · Nellis Afb, NV

Jake Daniel Dodge, DO is a family medicine physician with a practice address in Nellis Afb, Nevada, and NPI 1114410784, issued on Jun 8, 2018. Check the license (Nevada SL1306, as entered in NPPES) on the Nevada State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114410784
Name
Jake Daniel Dodge
Credential
DO
Primary taxonomy
Family Medicine Physician 207Q00000X
License numbers
SL1306 NV
DR.0069622 CO
Self-reported in NPPES; status is on the state search
Practice location
4700 Las Vegas Blvd N, Nellis Afb, NV 89191
Phone
(915) 540-1431
Enumerated
Jun 8, 2018
Record last updated
Apr 17, 2024
Medicare enrollment
Enrolled (PECOS I20251111001554); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest family medicine physician records → All 1,243 in Nevada → Look up another NPI →

Also registered at 4700 Las Vegas Blvd N

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Cherylene Abalos, D.O.Internal Medicine Physician1912401910
  2. Scott Abbott, CRNACertified Registered Nurse Anesthetist1831435072
  3. Olivia AbdooPhysical Therapist1144892639
  4. Lisa Abiuso-Hayes, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1992203566
  5. Erika Abraham, M.D.Internal Medicine Physician1831326644
  6. Joseph Acquafredda, CRNACertified Registered Nurse Anesthetist1861061293

Verify Jake Daniel Dodge in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNevada State Board of Medical Examiners
    Search for license SL1306    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Nevada license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. U S Health Dept OF Health And Human ServicesBrowning, MT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jake Daniel Dodge among 1,243 family medicine physician records in Nevada

Jake Daniel Dodge, DO is one of 1,243 family medicine physician records with a practice address in Nevada. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 78% of them.

  • NPI issued2018 · 78% of these records are older, 17% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated2018 · median 2008 among the 726 with a school on file
  • Record last updated2024 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Nevada practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

46 family medicine physician records list a practice address in Nellis Afb

They are 46 of the 829 NPPES records with a practice address in Nellis Afb, and 1,243 family medicine physician records in Nevada.

All 1,243 in Nevada → Every provider in Nellis Afb → Family Medicine Physician nationwide →

The 8 family medicine physician records with the nearest ZIP codes

  1. William BurkeyNellis Afb, NV 891911740365451
  2. Wilbert Cain, M.D.Las Vegas, NV 891911134111610
  3. Paul Crawford, M.D.Nellis Afb, NV 891911578557278
  4. Michael Gauron, MDNellis Afb, NV 891911992799514
  5. Atul Goel, M.D.Nellis Afb, NV 891911174505168
  6. Barbara Holck, DONellis Afb, NV 891911104975523
  7. Kyle Hudson, M.D.Nellis Afb, NV 891911871588236
  8. Deana Miller, MDNellis Afb, NV 891911710966544

Common questions

What is Jake Daniel Dodge, DO's NPI number?

Jake Daniel Dodge, DO's National Provider Identifier (NPI) is 1114410784, issued on Jun 8, 2018. An NPI identifies a provider in billing; it is not a license.

Where is Jake Daniel Dodge, DO located?

The NPPES record lists a practice address at 4700 Las Vegas Blvd N, Nellis Afb, NV, 89191. Phone: (915) 540-1431. Providers update this record themselves, so call before visiting.

How can I verify Jake Daniel Dodge, DO's license?

NPPES lists Nevada license number SL1306, as entered by the provider. Search the Nevada State Board of Medical Examiners at https://medboard.nv.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.