Individual provider Active NPI

Kirsten Alayna Dahl, M.D.

  • Anesthesiology Physician
  • Greenwood, SC
National Provider Identifier
1255711719
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
38238 Issued in SC
Practice address
1325 Spring St
Greenwood, SC 29646-3860
Phone
(864) 227-8242
NPI assigned
May 31, 2015
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 38238 SC Primary

Addresses

Primary practice location

1325 Spring St
Greenwood, SC 29646-3860

Mailing address

PO Box 63436
Charlotte, NC 28263-3436
Phone (864) 848-9555

Other practice location 1

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-1414

Other practice location 2

206 Elizabeth Ave
Greenwood, SC 29646-3815
Phone (864) 227-8242

Other practice location 3

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-1414

Other practice location 4

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (864) 848-9555

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190806001111 SC Practitioner - Anesthesiology 1153610126 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Anesthesia AssociatesGroup PAC ID 3274446422, 111 clinicians

Practice addresses (Care Compare)

10 Enterprise Blvd
Suite 109
Greenville, SC 29615-3534
Phone (864) 269-3419

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38238SCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Palmetto Anesthesia Associates Anesthesiology CurrentSince Aug 18, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol Anesthesiology CurrentSince May 18, 2019 Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

10 Enterprise Blvd
Ste 109
Greenville, SC 29615
Phone (864) 269-3419

Interoperability endpoints

  • Direct secure messaging: kdahl290156@selfregional.direct-ci.net

Organizations & group practices 3

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1255711719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63436",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633436",
            "telephone_number": "864-848-9555",
            "fax_number": "864-999-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SPRING ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463860",
            "telephone_number": "864-227-8242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Elizabeth Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463815",
            "country_code": "US",
            "telephone_number": "864-227-8242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Saint Francis Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296013955",
            "country_code": "US",
            "telephone_number": "864-848-9555",
            "fax_number": "864-999-3713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "KIRSTEN",
        "middle_name": "ALAYNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "38238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.