Dr Dahl LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4405 Issued in AZ

Legal business name

DR DAHL LLC

Practice address

3414 W Union Hills Dr
Suite # 13
Phoenix, AZ 85027-4899

Phone

(623) 582-6141

Fax

(623) 581-1924

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Edward Dahl, D.C., F.I.A.C.A.

Title

Owner

Phone

(623) 582-6141

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1235461005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W UNION HILLS DR",
            "address_2": "SUITE # 13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274899",
            "telephone_number": "623-582-6141",
            "fax_number": "623-581-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W UNION HILLS DR",
            "address_2": "SUITE # 13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274899",
            "telephone_number": "623-582-6141",
            "fax_number": "623-581-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DAHL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-582-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., F.I.A.C.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4405",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.