Active NPI
Marlin Dahl, D.C
- Chiropractor
- Salt Lake City, UT
National Provider Identifier
1760678890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 164757-1202
- Practice address
- 2605 S West Temple
Salt Lake City, UT 84115-3036 - Phone
- (801) 487-0841
- Fax
- (801) 487-4500
- NPI assigned
- Sep 21, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 164757-1202 | UT | Primary |
Addresses
Primary practice location
2605 S West Temple
Salt Lake City, UT 84115-3036
Mailing address
PO Box 65614
SLC, UT 84165-0614
Phone (801) 487-0841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071003000248 | UT | Practitioner - Chiropractic | 6800981093 | Practice locations: Salt Lake City, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2330 S Main St
Suite 16
Salt Lake City, UT 84115-2766
Phone (801) 694-5349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164757-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190332800000",
"number": "1760678890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 65614",
"city": "SLC",
"state": "UT",
"postal_code": "841650614",
"telephone_number": "801-487-0841",
"fax_number": "801-487-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 S WEST TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841153036",
"telephone_number": "801-487-0841",
"fax_number": "801-487-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "MARLIN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "164757-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.