Bryan Matthew Dahler, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CO8845 Issued in CO

Practice address

7575 W 20TH Ave
Lakewood, CO 80214-5738

Phone

(303) 421-8753

Fax

(303) 421-8857

NPI assigned

Nov 20, 2006

Sex

Male

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

Enrolled in CO

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

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1457425431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W. 20TH AVE.",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80002",
            "telephone_number": "303-421-8753",
            "fax_number": "303-421-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W 20TH AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145738",
            "telephone_number": "303-421-8753",
            "fax_number": "303-421-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLER",
        "first_name": "BRYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "CO8845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate D'Orazio, MA, LPCC, NCC
• D1 Surgical Assisting LLC
• Salma Daboul
• Jennifer Hope Dahl-Iglehart, NP
• Jolian J Dahl, MD
• Amanda Mills Dailey, O.D.
• Hillary Dailey
• Claudia T. Dakkouri, M.D.
• Dale G. Lervick, O.D., P.C.
• Justin Dale

• General Practice Dentistry in Lakewood, CO
• Providers in Lakewood, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.