Active NPI
Brandon Dahl, DDS
- General Practice Dentistry
- Liberty Hill, TX
National Provider Identifier
1184907040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26509
- Practice address
- 14362 W State Highway 29 Ste 201
Liberty Hill, TX 78642-4902 - Phone
- (512) 548-6807
- Fax
- (512) 548-6814
- NPI assigned
- Sep 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26509 | TX | Primary |
Addresses
Primary practice location
14362 W State Highway 29 Ste 201
Liberty Hill, TX 78642-4902
Mailing address
14362 W State Highway 29 Ste 201
Liberty Hill, TX 78642-4902
Phone (512) 548-6807
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26509 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L H Dental Group, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1184907040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14362 W STATE HIGHWAY 29 STE 201",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786424902",
"telephone_number": "512-548-6807",
"fax_number": "512-548-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14362 W STATE HIGHWAY 29 STE 201",
"city": "LIBERTY HILL",
"state": "TX",
"postal_code": "786424902",
"telephone_number": "512-548-6807",
"fax_number": "512-548-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "BRANDON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-27",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "26509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Hill, TX
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- Ashley N Davis
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- Dustin Dwiggins MD PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.