Individual provider Active NPI

Catherine Marie Dahl, DMD

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1063763076
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60295941 Issued in WA
Practice address
1296 Commercial St SE Ste 102
Salem, OR 97302-4200
Phone
(503) 399-0724
Fax
(971) 900-5777
NPI assigned
Oct 1, 2012
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60295941 WA Primary

Addresses

Primary practice location

1296 Commercial St SE Ste 102
Salem, OR 97302-4200

Mailing address

1296 Commercial St SE Ste 102
Salem, OR 97302-4200
Phone (503) 399-0724

Other practice location 1

Normandy Dr Bldg 6-6837
Fort Bragg, NC 28310-0001
Phone (910) 643-2196

Other names 1

  • Ms. Catherine Marie Robinson Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE60295941WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Dental Group, LLC General Practice CurrentSince Oct 16, 2022 Accepting new patients

Locations

1296 Commercial St SE
Ste 102
Salem, OR 97302
Phone (503) 362-0933

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1063763076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 COMMERCIAL ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024200",
            "telephone_number": "503-399-0724",
            "fax_number": "971-900-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 COMMERCIAL ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024200",
            "telephone_number": "503-399-0724",
            "fax_number": "971-900-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Normandy Dr Bldg 6-6837",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "910-643-2196",
            "fax_number": "910-396-7017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2022-10-14",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60295941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "ROBINSON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.