Active NPI
Paul Alan Dale, MD
- Orthopaedic Surgery Physician
- Alexandria, MN
National Provider Identifier
1235105263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 30084
- Practice address
- 111 17TH Ave E Ste 101
Alexandria, MN 56308-5274 - Phone
- (320) 762-1144
- Fax
- (320) 762-1935
- NPI assigned
- Feb 28, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 30084 | MN | Primary |
Addresses
Primary practice location
111 17TH Ave E Ste 101
Alexandria, MN 56308-5274
Mailing address
111 17TH Ave E Ste 101
Alexandria, MN 56308-3734
Phone (320) 762-1144
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pdale28175@direct.centracare.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- pdale28175@direct.centracare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1235105263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 17TH AVE E STE 101",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083734",
"telephone_number": "320-762-1144",
"fax_number": "320-762-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 17TH AVE E STE 101",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085274",
"telephone_number": "320-762-1144",
"fax_number": "320-762-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "PAUL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2023-03-07",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "30084",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pdale28175@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pdale28175@direct.centracare.com",
"address_1": "111 17th Ave E Ste 101",
"city": "Alexandria",
"state": "MN",
"country_code": "US",
"postal_code": "563083734",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.