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

Keenan Alan Dodd

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023658341

Keenan Alan Dodd is a Physician Assistant in Rio Rancho, New Mexico. Qualified in 2022, 4 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2400 Unser Blvd SE Ste 8100
Rio Rancho, NM 87124-3392
Phone: (505) 253-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023658341
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 14, 2020
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address5119 Mirador Dr Nw, Albuquerque, NM 87120-5734

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rio Rancho