Active NPI
Andrew Albert Dahl, M.D., F.A.C.S.
- Ophthalmology Physician
- Poughkeepsie, NY
National Provider Identifier
1376579805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 099133
- Practice address
- 1 Gus Siko Rd
Poughkeepsie, NY 12601-5112 - Phone
- (845) 471-7808
- Fax
- (845) 471-7640
- NPI assigned
- Jun 25, 2006
- Last updated
- Aug 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 099133 | NY | Primary |
| Ophthalmology Physician | 207W00000X | DR-43986 | CO |
Addresses
Primary practice location
1 Gus Siko Rd
Poughkeepsie, NY 12601-5112
Mailing address
1 Gus Siko Rd
Poughkeepsie, NY 12601-5112
Phone (845) 471-7808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR-43986 | CO | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1376579805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUS SIKO RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126015112",
"telephone_number": "845-471-7808",
"fax_number": "845-471-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUS SIKO RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126015112",
"telephone_number": "845-471-7808",
"fax_number": "845-471-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "ANDREW",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "099133",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "DR-43986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.