Ethan Dodge
NPI 1962938464 · Pediatrics Physician · Phoenix, AZ
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Dodge is a Pediatrics Physician provider in Phoenix, AZ (NPI 1962938464).
Provider details
- NPI number
- 1962938464
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 60154 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1919 E Thomas RdPhoenix Children'S HospitalPhoenix, AZ 85016Phone: (602) 546-2923
Registry dates
- Enumerated
- 2017-05-04
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Frequently asked questions
- What is Ethan Dodge's NPI number?
- Ethan Dodge's National Provider Identifier (NPI) is 1962938464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Dodge's specialty?
- Ethan Dodge is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Dodge located?
- Ethan Dodge's practice location on file with NPPES is 500 W Thomas Rd Ste 250, Phoenix, AZ 85013-4215.
- What is Ethan Dodge's phone number?
- The practice phone number listed in the NPPES registry for Ethan Dodge is (602) 406-3520.
- Does Ethan Dodge accept Medicare?
- Ethan Dodge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Dodge's NPI active?
- Yes — Ethan Dodge's NPI (1962938464) is active in the NPPES registry as of the last update on 2024-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.