Holly Elizabeth Dahl

Primary specialty

ContractorTaxonomy code 171W00000X

License

11937-146 Issued in WI

Practice address

740 Regent St
Suite 106
Madison, WI 53715-2647

Phone

(608) 662-5090

NPI assigned

Sep 8, 2014

Last updated

Sep 8, 2014By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

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.

• Group Health Cooperative of South Central Wi - Olin Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1467889238
  NPD (past)

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1386045565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 PATTY LN",
            "address_2": "APT 2",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 REGENT ST",
            "address_2": "SUITE 106",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152647",
            "telephone_number": "608-662-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WI",
            "license": "11937-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Daggett, MD
• Mohamed Ali Dahir, AFH PROVIDER
• Samir Abib Dahir
• Dahl Family Chiropractic, SC Inc
• Ann Marie Beth Dahl, D.C.
• Tana Dahl, D.O.
• Jordan Margaret Dahlhauser
• Michelle Renee Dahlie, OT
• Marla Dahlk, PAC
• Debra Dahlke, CRNA

• Contractor in Madison, WI
• Providers in Madison, WI by specialty
• Contractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.