David I Dahl, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7219 Issued in AZ

Practice address

11650 US Highway 380 Ste 100
Crossroads, TX 76227-8329

Phone

(940) 205-4293

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Cross Roads Smiles Dentistry,PC

  • Dentist
  • Cross Roads, TX
  • NPI 1184174039
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1407061997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13865 POMEGANATE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "520-226-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 US HIGHWAY 380 STE 100",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762278329",
            "telephone_number": "940-205-4293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4990 E. Mediterranean Dr.,",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "85650",
            "country_code": "US",
            "telephone_number": "520-459-3067",
            "fax_number": "520-459-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "DAVID",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33992",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL LICENSE",
            "identifier": "33992",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keilah Brown, DC
• Brandi Nicole Cannon, M.S., CCC-SLP
• Cornerstone Dental
• Cross Roads Eyecare, PLLC
• Cross Roads Womens Health P.a.
• Dove Hospice Care LLC
• Dr Tuan Ho & Associates PLLC
• Taylor Eakins
• Equillia Andrea Earle, LPC
• Mary H. Eberhart, WHNP-BC

• General Practice Dentistry in Crossroads, TX
• Providers in Crossroads, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.