Active NPI
Corey Dahl, PA-C
- Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8554567-1206
- Practice address
- 1250 E 3900 S Ste 440
Salt Lake City, UT 84124-1349 - Phone
- (801) 869-4100
- Fax
- (801) 869-4119
- NPI assigned
- Aug 22, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | WY | ||
| Physician Assistant | 363A00000X | 8554567-1206 | UT | Primary |
Addresses
Primary practice location
1250 E 3900 S Ste 440
Salt Lake City, UT 84124-1349
Mailing address
926 Shepard Church Dr
Farmington, UT 84025-2837
Phone (801) 510-8140
Other practice location 1
3838 S 700 E Ste 300
Salt Lake City, UT 84106-1496
Phone (801) 261-4988
Other practice location 2
4460 S Highland Dr Ste 220
Millcreek, UT 84124-3550
Phone (504) 438-4259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 E 3900
Suite 440
Salt Lake City, UT 84124-1349
Phone (801) 869-4100
4460 S Highland Dr
Suite 200
Millcreek, UT 84124-3550
Phone (804) 438-4259
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Vein & Vascular LLC Welscare of Utah | Current | Accepting new patients | |
| Ma Bo Inc | Current | Accepting new patients | |
| Scott N Bateman, MD | Past | Accepting new patients |
Locations
4460 S Highland Dr
Ste 220
Salt Lake City, UT 84124
Phone (801) 273-6300
4460 S Highland Dr
Ste 200
Salt Lake City, UT 84124
Phone (804) 438-4259
466 E 500 S
Ste 200
Salt Lake Cty, UT 84111
Phone (801) 485-5055
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Salt Lake City, UT
- NPI 1831961804
-
- Multi-Specialty Clinic/Center
- Millcreek, UT
- NPI 1588527592
-
- Internal Medicine Physician
- Lehi, UT
- NPI 1346795325
-
- Pain Medicine Physician
- Salt Lake City, UT
- NPI 1417253907
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1588185581
-
dba Sheridan Ear Nose & Throat
- Otolaryngology Physician
- Sheridan, WY
- NPI 1578754487
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ogden, UT
- NPI 1649223256
-
- Home Health Agency
- Lehi, UT
- NPI 1558872309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777161600000",
"number": "1376891366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 SHEPARD CHURCH DR",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840252837",
"telephone_number": "801-510-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E 3900 S STE 440",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241349",
"telephone_number": "801-869-4100",
"fax_number": "801-869-4119"
}
],
"practiceLocations": [
{
"address_1": "3838 S 700 E Ste 300",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841061496",
"country_code": "US",
"telephone_number": "801-261-4988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4460 S Highland Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Millcreek",
"state": "UT",
"postal_code": "841243550",
"country_code": "US",
"telephone_number": "504-438-4259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHL",
"first_name": "COREY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-22",
"last_updated": "2026-04-26",
"certification_date": "2026-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WY",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "8554567-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.