Organization Active NPI

Dahl Family Chiropractic, SC Inc

  • Chiropractor
  • Madison, WI
National Provider Identifier
1346364668
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4304 Issued in WI
Legal business name
DAHL FAMILY CHIROPRACTIC, SC INC
Practice address
6626 Mineral Point Rd
Madison, WI 53705-4238
Phone
(608) 829-0074
Fax
(608) 829-0330
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ann Marie Beth Dahl, D.C.NPI 1134180730
Title
Owner Doctor of Chiropractic
Phone
(608) 829-0074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4304 WI Primary

Addresses

Primary practice location

6626 Mineral Point Rd
Madison, WI 53705-4238

Mailing address

6626 Mineral Point Rd
Madison, WI 53705-4238
Phone (608) 829-0074

Other names 1

  • Dahl Family Chiropractic, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000458 WI Part B Supplier - Clinic/Group Practice 0547368375 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

6626 Mineral Point Rd
Madison, WI 53705
Phone (608) 829-0074

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346364668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054238",
            "telephone_number": "608-829-0074",
            "fax_number": "608-829-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054238",
            "telephone_number": "608-829-0074",
            "fax_number": "608-829-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAHL FAMILY CHIROPRACTIC, SC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "608-829-0074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dahl Family Chiropractic, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.