Eric P Dahlstrom, D.C., L.AC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26371 Issued in CA

Practice address

611 Colorado Ave
Santa Monica, CA 90401-2507

Phone

(310) 451-2209

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Eric P. Dahlstrom, D.C., L.a.C. Inc Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1386723013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COLORADO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012507",
            "telephone_number": "310-451-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COLORADO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012507",
            "telephone_number": "310-451-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLSTROM",
        "first_name": "ERIC",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26371",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "DAHLSTROM, D.C., L.A.C. INC",
            "middle_name": "P.",
            "prefix": "DR.",
            "credential": "D.C, L. AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dominique Irina Dabija
• Anna Halina Dabrowska, D.D.S
• Dorothy Patrice Dada, MD, PHD
• Roger E. Dafter, PH.D.
• James George Dahlgren, M.D.
• Katie Dahm
• Jamie Dailey, R.N.
• Dainty Acupuncture
• Dakini Enterprises
• Beverly Johnson Dalby, DC

• Chiropractor in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.