Active NPI
David Ernest Dahl, MD
- Pain Medicine Physician
- La Crosse, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 73388
- Practice address
- 1836 South Ave
La Crosse, WI 54601-5429 - Phone
- (608) 782-7300
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 67512 | MN | |
| Interventional Pain Medicine Physician | 208VP0014X | MD0000052702 | TN | |
| Pain Medicine Physician | 208VP0000X | 73388 | WI | Primary |
Addresses
Primary practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- East Tennessee State University Quillen College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11416 Grigsby Chapel Rd
Suite 104
Knoxville, TN 37934-1649
Phone (865) 218-2100
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220
1934 Alcoa Hwy
Suite 280
Knoxville, TN 37920-1530
Phone (865) 305-8684
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73388 | WI | MD | Pain Medicine Physician |
| MD0000052702 | TN | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Interventional Pain Consultants | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Anesthesiology | Current | Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| University Anesthesiologists, PLLC | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc. | Current | Accepting new patients | |
| Interventional Pain Consultants | Pain Medicine | Current | Accepting new patients |
| Gundersen Lutheran Medical Center Inc | Interventional Pain Medicine | Past | Accepting new patients |
Locations
102 Dunhill Pl NW
Cleveland, TN 37311
Phone (423) 339-9581
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
11416 Grigsby Chapel Rd
Ste 104
Knoxville, TN 37934
Phone (865) 218-2100
1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220
1934 Alcoa Hwy
Ste 474
Knoxville, TN 37920
Phone (865) 305-8684
101 Donner Dr
Oak Ridge, TN 37830
Phone (865) 685-0941
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
Interoperability endpoints
- david.dahl@2576.securemail.prognocis.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Cleveland, TN
- NPI 1174241145
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1558479279
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Durable Medical Equipment & Medical Supplies
- La Crosse, WI
- NPI 1447478607
-
- Durable Medical Equipment & Medical Supplies
- Ringgold, GA
- NPI 1629932389
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1073619466
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
Interventional Pain Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
- General Acute Care Hospital
- Knoxville, TN
- NPI 1538164090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1841516937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1836 SOUTH AVE",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015429",
"telephone_number": "608-782-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "DAVID",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "MN",
"license": "67512",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TN",
"license": "MD0000052702",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "WI",
"license": "73388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.
- 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.