Active NPI
Rebecca Ann Dahl, DO
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
National Provider Identifier
1740084482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3100 N Tenaya Way
Las Vegas, NV 89128-0436 - Phone
- (702) 962-9564
- NPI assigned
- Apr 2, 2025
- Last updated
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Mailing address
16757 90TH Ave S
Barnesville, MN 56514-9183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616002074 | NV | Order and Referring Only - Physical Medicine and Rehabilitation | 4981176476 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1740084482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16757 90TH AVE S",
"city": "BARNESVILLE",
"state": "MN",
"postal_code": "565149183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N TENAYA WAY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280436",
"telephone_number": "702-962-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "REBECCA",
"middle_name": "ANN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-02",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.