David Nicholas Dahl, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02003544A Issued in IN

Practice address

600 S State Road 57
Ste a
Washington, IN 47501-4371

Phone

(812) 257-1052

Fax

(812) 257-1061

NPI assigned

Aug 5, 2008

Last updated

Dec 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, TX, NY, NJ, HI, FL, OH, WI, IL, VA, MO, GA, MI, MA, WA, PA, DC, DE, MN, WY, CO, MD, AR, LA, OK, NM, CA, ME, RI, CT, VT, NH, AZ, OR34 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: david.dahl.1@20088.direct.athenahealth.com

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.

• Beluga Health PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1356055016

  AR, AZ, CO, CT, DC, GA, IL, LA, MA, MD, ME, MN, MO, NC, NH, NM, OK, OR, RI, VA, VT, WA, WI, WY

  Medicare reassignment
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612
  NPD (past)
• Relymd Medical Group, LLC

  dba RelyMD Medical Group

  • Family Medicine Physician
  • Cheyenne, WY
  • NPI 1639781875
  NPD (past)
• Selectsync Medical, PA

  • General Practice Physician
  • Richmond, VA
  • NPI 1467278655
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1114183555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S STATE ROAD 57",
            "address_2": "STE A",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014371",
            "telephone_number": "812-257-1052",
            "fax_number": "812-257-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S STATE ROAD 57",
            "address_2": "STE A",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014371",
            "telephone_number": "812-257-1052",
            "fax_number": "812-257-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11211 Katy Fwy Ste 252",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770792126",
            "country_code": "US",
            "telephone_number": "877-380-1351",
            "fax_number": "888-655-7536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6735 Conroy Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328353565",
            "country_code": "US",
            "telephone_number": "877-380-1351",
            "fax_number": "888-655-7536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18001 Sky Park Cir Ste K",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926140506",
            "country_code": "US",
            "telephone_number": "877-380-1351",
            "fax_number": "888-655-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "DAVID",
        "middle_name": "NICHOLAS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11014487A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003544A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlye Crim, COTA
• Stephen L Cullen, D.O.
• Cari Jo Cumberworth
• Clay Isaac Cummings, PHARMD
• Dahl Family Medicine, LLC
• Darrell Deem DDS, Inc
• Daviess Community Hospital (DCH Spine and Joint Center)
• Daviess County Employees
• Daviess County Hospital (DCH Health Pavilion)
• Daviess County Hospital (Transitions Behavioral Services)

• Family Medicine Physician in Washington, IN
• Providers in Washington, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.