Christian William Dahl, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00023715 Issued in WA

Practice address

1009 College St.
Lacey, WA 98503-5310

Phone

(360) 407-1508

Fax

(360) 407-0955

NPI assigned

Mar 20, 2007

Last updated

Jul 21, 2022By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205951076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 227TH AVE E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983217433",
            "telephone_number": "253-260-2056",
            "fax_number": "360-407-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 COLLEGE ST.",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035310",
            "telephone_number": "360-407-1508",
            "fax_number": "360-407-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "CHRISTIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00023715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8103384",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Curry, LBA, BCBA
• Breanne Gail Curtis
• Colleen Heather D'Angelo, LCSW
• Marie Daffon
• Jill Dagher, SCP
• James A Dahl
• Vincent M Dalseg
• Damon Counseling Services
• Adelina Georgieva Dana, M.A.
• Dandelion Nutrition LLC (Dandelion Nutrition)

• Family Medicine Physician in Lacey, WA
• Providers in Lacey, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.