Eric Paul Dahl, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10602 Issued in MS

Practice address

1487 Belk Blvd
Oxford, MS 38655-5371

Phone

(662) 234-1090

Fax

(662) 234-0432

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Amory, MS
  • NPI 1467856385
  Medicare reassignment NPD
• Wade Clinic LLC

  • Family Nurse Practitioner
  • Calhoun City, MS
  • NPI 1225580046
  Medicare reassignment NPD
• Comprehensive Hospitalists of Ms, LLC

  • Hospitalist Physician
  • Clarksdale, MS
  • NPI 1710371679
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003908476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555371",
            "telephone_number": "662-234-1090",
            "fax_number": "662-234-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555371",
            "telephone_number": "662-234-1090",
            "fax_number": "662-234-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "10602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015608",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley Margaret Curie, MA
• Custom Care Consultants, LLC
• Molly Shivers Cutcliffe, FNP-C
• Willis N Dabbs, MD
• Christopher Dahl, PA-C
• Jessica Simone Butler Daigle, M.D.
• Robin Benson Daleke, LCSW
• Chandler Mims Dalton
• Asia Daniels, BSW, MSW, PCMHT
• Jayla Daniels, BA

• Family Medicine Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.