Charles K. Dahlgren, M.D., Corp

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

Legal business name

CHARLES K. DAHLGREN, M.D., CORP

Practice address

1995 Errecart Blvd Ste 109
Elko, NV 89801-8336

Phone

(775) 738-2555

NPI assigned

Mar 3, 2008

Last updated

Nov 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Kenneth Dahlgren, MD

Title

Owner

Phone

(775) 738-2555

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

Charles K Dahlgren MD Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charles K. Dahlgren, MD Corporation

  • Otolaryngology Physician
  • Elko, NV
  • NPI 1073847265
  NPD tax ID

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1053581470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD STE 109",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018336",
            "telephone_number": "775-738-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD STE 109",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018336",
            "telephone_number": "775-738-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES K. DAHLGREN, M.D., CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "DAHLGREN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-738-2555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "A20663",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE LICENSE",
            "identifier": "11563",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A22258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00273393",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507648",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "101836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie Dahlila Cervantes, FNP-C
• Leticia Cervantes
• Christi Bree Chabot-Bushell
• Mackayla Chacon, PCA
• Caitlynne Chapman
• Charles K. Dahlgren, MD Corporation
• Michael Charlton
• Children's Dentistry of Elko
• CHMM Elko Mso, LLC (Elko Community Physicians Group)
• Pongkarn Chokjarunate

• Otolaryngology Physician in Elko, NV
• Providers in Elko, NV by specialty
• Otolaryngology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.