Individual provider Active NPI

Ann Marie Beth Dahl, D.C.

  • Chiropractor
  • Madison, WI
National Provider Identifier
1134180730
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4304 Issued in WI
Practice address
6626 Mineral Point Rd
Madison, WI 53705-4238
Phone
(608) 829-0074
Fax
(608) 829-0330
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4304 WI Primary

Addresses

Primary practice location

6626 Mineral Point Rd
Madison, WI 53705-4238

Mailing address

Dahl Family Chiropractic, SC Inc
6626 Mineral Point Rd
Madison, WI 53705-4238
Phone (608) 829-0074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070601000454 WI Practitioner - Chiropractic 5991711731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6626 Mineral Point Rd
Madison, WI 53705-4238
Phone (608) 829-0074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dahl Family Chiropractic, SC Inc Chiropractor CurrentSince Apr 16, 2007 Accepting new patients
Scott Family Chiropractic, LLC Chiropractor PastSince Apr 16, 2007 Accepting new patients

Locations

6626 Mineral Point Rd
Madison, WI 53705
Phone (608) 829-0074

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134180730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DAHL FAMILY CHIROPRACTIC, SC INC",
            "address_2": "6626 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054238",
            "telephone_number": "608-829-0074",
            "fax_number": "608-829-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054238",
            "telephone_number": "608-829-0074",
            "fax_number": "608-829-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "ANN MARIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.