Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jake Daniel Dodge, DO

Individual provider Family Medicine Physician · NPI 1114410784

Dr. Jake Daniel Dodge, DO is a Family Practice in Nellis AFB, Nevada. Qualified in 2018, 8 years ago. Practices with U S Health Dept of Health and Human Services, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Nevada.

Years since qualifying
8
Licensed in
CO, NV
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (915) 540-1431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10350 E Dakota Ave, Denver, CO 80247-1314 — (303) 338-4545

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence SL1306 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0069622 (CO)

Record details

NPI number1114410784
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice U S Health Dept Of Health And Human Services — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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