NPIMap

Organization Active NPI

Craig D. Dahl D.C. Inc. PS

  • Chiropractor
  • Renton, WA
National Provider Identifier
1033283064
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0003431 Issued in WA
Legal business name
CRAIG D. DAHL D.C. INC. PS
Practice address
17422 108TH Ave SE Ste 102
Renton, WA 98055-5400
Phone
(425) 255-0427
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig David Dahl, D.C.NPI 1619041639
Title
President
Phone
(253) 797-4843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0003431 WA Primary

Addresses

Primary practice location

17422 108TH Ave SE Ste 102
Renton, WA 98055-5400

Mailing address

17422 108TH Ave SE Ste 102
Renton, WA 98055-5400
Phone (425) 255-0427

National Provider Directory

National Provider Directory

Locations

31515 3rd Ave
Black Diamond, WA 98010
Phone (360) 886-1600

17422 108th Ave SE
Ste 102
Renton, WA 98055
Phone (425) 255-0427

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033283064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17422 108TH AVE SE STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555400",
            "telephone_number": "425-255-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17422 108TH AVE SE STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555400",
            "telephone_number": "425-255-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG D. DAHL D.C. INC. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-797-4843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0003431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.