Organization Active NPI

William K Dahl

  • Podiatrist
  • Bangor, ME
National Provider Identifier
1740415520
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD200 Issued in ME
Legal business name
WILLIAM K DAHL
Practice address
205 French St
Bangor, ME 04401-5064
Phone
(207) 945-5554
Fax
(204) 945-5196
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
William K Dahl, DPM
Title
Owner
Phone
(207) 945-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POD200 ME Primary

Addresses

Primary practice location

205 French St
Bangor, ME 04401-5064

Mailing address

205 French St
Bangor, ME 04401-5064
Phone (207) 945-5554

Other identifiers 1

IdentifierTypeStateIssuer
220000000MedicaidME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1740415520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FRENCH ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015064",
            "telephone_number": "207-945-5554",
            "fax_number": "204-945-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FRENCH ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015064",
            "telephone_number": "207-945-5554",
            "fax_number": "204-945-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM K DAHL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-945-5554",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220000000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.