Active NPI
Az North Pain & Rehab
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Flagstaff, AZ
National Provider Identifier
1659614113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- AZ NORTH PAIN & REHAB
- Practice address
- 2622 N Steves Blvd
Flagstaff, AZ 86004-3938 - Phone
- (928) 226-7191
- NPI assigned
- Apr 3, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Michael Dahl
- Title
- President
- Phone
- (928) 226-7191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
2622 N Steves Blvd
Flagstaff, AZ 86004-3938
Mailing address
PO Box 2520
Flagstaff, AZ 86003-2520
Phone (928) 226-7191
National Provider Directory
National Provider DirectoryLocations
2622 N Steves Blvd
Flagstaff, AZ 86004
Phone (520) 226-7191
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Flagstaff, AZ
- NPI 1013082668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1659614113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2520",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860032520",
"telephone_number": "928-226-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 N STEVES BLVD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043938",
"telephone_number": "928-226-7191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ NORTH PAIN & REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-03",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "DAHL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-226-7191"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.