Active NPI
Daniel Blaine Dahle, MD
- Family Medicine Physician
- Bieber, CA
National Provider Identifier
1497797906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 653557
- Practice address
- 554-850 Medical Center Drive
Bieber, CA 96009-0277 - Phone
- (530) 294-5241
- Fax
- (530) 294-5801
- NPI assigned
- Jun 11, 2006
- Last updated
- Aug 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 653557 | CA | Primary |
Addresses
Primary practice location
554-850 Medical Center Drive
Bieber, CA 96009-0277
Mailing address
PO Box 277
Bieber, CA 96009-0277
Phone (530) 294-5241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653557 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1497797906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 277",
"city": "BIEBER",
"state": "CA",
"postal_code": "960090277",
"telephone_number": "530-294-5241",
"fax_number": "530-294-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554-850 MEDICAL CENTER DRIVE",
"city": "BIEBER",
"state": "CA",
"postal_code": "960090277",
"telephone_number": "530-294-5241",
"fax_number": "530-294-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLE",
"first_name": "DANIEL",
"middle_name": "BLAINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "653557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bieber, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.