NPIMap

Organization Active NPI

Charles K. Dahlgren, MD Corporation

  • Otolaryngology Physician
  • Elko, NV
National Provider Identifier
1073847265
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
11563 Issued in NV
Legal business name
CHARLES K. DAHLGREN, MD CORPORATION
Practice address
1995 Errecart Blvd
Suite 109
Elko, NV 89801-8334
Phone
(775) 738-2555
Fax
(775) 738-2585
NPI assigned
Sep 22, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Charles K. Dahlgren, MD
Title
President
Phone
(775) 738-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 11563 NV Primary

Addresses

Primary practice location

1995 Errecart Blvd
Suite 109
Elko, NV 89801-8334

Mailing address

1995 Errecart Blvd
Suite 109
Elko, NV 89801-8334
Phone (775) 738-2555

National Provider Directory

National Provider Directory
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.

Locations

1995 Errecart Blvd
Ste 109
Elko, NV 89801
Phone (775) 738-2555

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1073847265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD",
            "address_2": "SUITE 109",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018334",
            "telephone_number": "775-738-2555",
            "fax_number": "775-738-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 ERRECART BLVD",
            "address_2": "SUITE 109",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018334",
            "telephone_number": "775-738-2555",
            "fax_number": "775-738-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES K. DAHLGREN, MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "DAHLGREN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-738-2555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "11563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • 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.