Thomas Edward Dahl, D.C., F.I,A.C.A

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4405 Issued in AZ

Practice address

3414 W Union Hills Dr
Ste 13
Phoenix, AZ 85027-4899

Phone

(623) 582-6141

Fax

(623) 581-1924

NPI assigned

Jul 17, 2006

Reactivated

Apr 21, 2010

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1689692709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 W UNION HILLS DR",
            "address_2": "STE 13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274899",
            "telephone_number": "623-582-6141",
            "fax_number": "623-581-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W UNION HILLS DR",
            "address_2": "STE 13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274899",
            "telephone_number": "623-582-6141",
            "fax_number": "623-581-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C., F.I,A.C.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-04-21",
        "deactivation_date": "2010-03-02",
        "reactivation_date": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4405",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "23-07-4405",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "860616603",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "AZ0246870",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah S Dahl, O.T.
• Katharine Dahl, MD
• Kristina Dahl
• Maiah Dahl
• Peder M Dahl, P.T.
• Todd A Dahl, LCSW
• Tracie Dahl, OTD, OTR/L
• Jonathan Dahlquist
• Holly Amelia Dahlseid, MSW
• Susan Annette Dahlstedt, PT, DPT

• Chiropractor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.