Andrew Kevin Dahlen, M.A.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

16180 Hastings Ave SE
Suite 205
Prior Lake, MN 55372-9227

Phone

(952) 463-4600

Fax

(952) 463-4604

NPI assigned

Jan 5, 2016

Last updated

Jan 5, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1346606530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 ULYSSES ST NE # 1",
            "address_2": "#1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183047",
            "telephone_number": "651-214-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16180 HASTINGS AVE SE",
            "address_2": "SUITE 205",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553729227",
            "telephone_number": "952-463-4600",
            "fax_number": "952-463-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEN",
        "first_name": "ANDREW",
        "middle_name": "KEVIN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Consult Care LLC
• Casey Cool, MA, LMFT
• Crossroads Optometric Clinic, Inc. (Lakeside Family Eye Care)
• Portia Dadzie
• Ali Abdi Dahir
• Carlene Therese Daley, COTA/L
• Erika Marie Davis, LMFT
• Lisa Anne Dawson-Clausen, O.D.
• DDS House Call, PLLC
• Deswil Medical Group PLLC (Arise Medical and Wellness)

• Student in an Organized Health Care Education/Training Program in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Student in an Organized Health Care Education/Training Program in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.