Active NPI
Carl Robert Dahl, M.D.
- Gastroenterology Physician
- Wheat Ridge, CO
National Provider Identifier
1023052891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 17461
- Practice address
- 8550 W 38TH Ave Ste 300
Wheat Ridge, CO 80033-4355 - Phone
- (303) 463-3900
- Fax
- (303) 463-3999
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 17461 | CO | Primary |
Addresses
Primary practice location
8550 W 38TH Ave Ste 300
Wheat Ridge, CO 80033-4355
Mailing address
10403 W Colfax Ave Ste 630
Lakewood, CO 80215-3812
Phone (303) 205-1090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01174614 | Medicaid | CO | |
| 100010928 | Other | CO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belmar Womens Care P.C. | Past | Accepting new patients | |
| Rocky Mountain Endoscopy Centers, LLC | Past | Accepting new patients | |
| Rocky Mountain Gastroenterology Associates, PLLC | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Lakewood, CO
- NPI 1073613881
-
- Ambulatory Surgical Clinic/Center
- Thornton, CO
- NPI 1477615284
-
- Gastroenterology Physician
- Lakewood, CO
- NPI 1669414272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1023052891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10403 W COLFAX AVE STE 630",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802153812",
"telephone_number": "303-205-1090",
"fax_number": "303-205-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 W 38TH AVE STE 300",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334355",
"telephone_number": "303-463-3900",
"fax_number": "303-463-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "CARL",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "17461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01174614",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100010928",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.