Michael G Dahle MD,a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G41111 Issued in CA

Legal business name

MICHAEL G DAHLE MD,A PROFESSIONAL CORPORATION

Practice address

105 Margaret LN
Grass Valley, CA 95945-5211

Phone

(530) 272-9058

Fax

(530) 272-3324

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Dahle, MD

Title

Owner

Phone

(530) 272-9058

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1730105198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARGARET LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455211",
            "telephone_number": "530-272-9058",
            "fax_number": "530-272-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARGARET LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455211",
            "telephone_number": "530-272-9058",
            "fax_number": "530-272-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G DAHLE MD,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "DAHLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-272-9058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G41111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G411110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Merrick
• N. Dian Merrill, LMFT
• Daniel Meyer
• Paul Johnathan Meyer, MFT
• Micah Berry M D Inc a Professional Corporation
• Michael Phillips Rice LMFT
• Sarah Michalak, RRW
• Robert Edward Michelin, M.D.
• Michelle Kucera, DDS, Inc.
• Cynthia Middaugh, CADC-II

• Specialist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.