Michael G Dahle, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G41111 Issued in CA

Practice address

105 Margaret LN
Suite B
Grass Valley, CA 95945-5211

Phone

(530) 272-9058

Fax

(530) 272-3324

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1760454938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARGARET LN",
            "address_2": "SUITE B",
            "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",
            "address_2": "SUITE B",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455211",
            "telephone_number": "530-272-9058",
            "fax_number": "530-272-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLE",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G41111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G411110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri H Cutter, PT
• Natalie Ann Cyhanenko, PPS
• Joyce Margaret Czuprynski, M.D.
• D K Dokimos Inc (Dokimos East Main Pharmacy)
• D K Dokimos Inc (Dokimos East Main Pharmacy)
• Jenelle Daily
• Barbara Jane Dakin, OMD, LAC
• Dale R. Butler, MD, Inc.
• Jordan Bradford Damm
• Katie Sue Damota, IBCLC, MAS

• 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 14, 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.