Individual provider Active NPI

David Ernest Dahl, MD

  • Pain Medicine Physician
  • La Crosse, WI
National Provider Identifier
1841516937
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
73388 Issued in WI
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

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150914001882 TN Practitioner - Pain ManagementPractitioner - Anesthesiology 2264674985 Reassigns benefits to 3 organizations
I20210113000149 WI Practitioner - Pain ManagementPractitioner - Anesthesiology 2264674985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
East Tennessee State University Quillen College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Pain ConsultantsGroup PAC ID 7416323514, 16 clinicians

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

LicenseStateTypeSpecialty
73388WIMDPain Medicine Physician
MD0000052702TNMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince Nov 2, 2019 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Nov 2, 2019 Accepting new patients
Interventional Pain Consultants CurrentSince Sep 1, 2024 Accepting new patients
University Anesthesiologists, PLLC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
University Anesthesiologists, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc. CurrentSince Dec 28, 2020 Accepting new patients
Interventional Pain Consultants Pain Medicine CurrentSince Sep 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.