Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jake Daniel Dodge, DO

Family Medicine Physician in Nellis Afb, NV · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114410784

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Dr. Jake Daniel Dodge

Credential DO

Sex Male

Practice address 4700 Las Vegas Blvd N, Nellis Afb, NV, 89191

Phone (915) 540-1431

Enumeration date Jun 8, 2018

Last updated in NPPES Apr 17, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License DR.0069622 (CO) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License SL1306 (NV) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
029551	Other	CO	KAISER COMMERCIAL NUMBER
SL1306	Other	NV	NEVADA STATE LICENSING BOARD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jake Dodge's NPI record?

Cross-check NPI 1114410784 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1114410784 active?

Yes, as of the latest NPPES snapshot, NPI 1114410784 is active (record last updated 2024-04-17).

Other providers at this practice address

Browse all →

Frank Andriola Internal Medicine Physician · Nellis Afb, NV NPI 1366445389 James Zinser Family Medicine Physician · Nellis Afb, NV NPI 1922001056 Carla Fisher Medical Physician Assistant · Nellis Afb, NV NPI 1396749081 Guy Gober Urology Physician · Nellis Afb, NV NPI 1982602660 Benjamin Clarke Dentist · Nellis Afb, NV NPI 1679565402 Wilbert Cain Family Medicine Physician · Las Vegas, NV NPI 1134111610 Patrick Hsieh Emergency Medicine Physician · Nellis Afb, NV NPI 1962495481 Scott Hartwich Aerospace Medicine Physician · Nellis Afb, NV NPI 1972597748

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-17.