Ralph Dahlstrom, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

6199 Issued in AK

Practice address

542 W 2ND Ave
Anchorage, AK 99501-2208

Phone

(907) 276-1617

Fax

(907) 264-2687

NPI assigned

Apr 13, 2007

Last updated

Jan 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ophthalmic Associates a Professional Corporation

  • Ophthalmology Physician
  • Anchorage, AK
  • NPI 1255325692
  NPD (past)
• The Eye Place Corporation

  • Ophthalmology Physician
  • Deming, NM
  • NPI 1194709501
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1861617284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012208",
            "telephone_number": "907-276-1617",
            "fax_number": "907-264-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012208",
            "telephone_number": "907-276-1617",
            "fax_number": "907-264-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLSTROM",
        "first_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "70-30",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "6199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIMARRON HMO & SALUD",
            "identifier": "850482482-01",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "5681",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6577",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIMARRON",
            "identifier": "85-0469981-002",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043761",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS",
            "identifier": "4201",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE GROUP",
            "identifier": "0725950001",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "14052",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HMO & SALUD",
            "identifier": "850482482",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance J. Dafoe-Rueb, MS, RD, LD
• Ben Joseph Dahl-Rouzan
• Sarah Dahlen
• Jeremy Dahlenburg, DPM
• Karen Dahlstrom
• Kimberly S Dahm, PA-C
• Alyson Daigneault
• Brandi Nicole Dailey
• Jonathan Daining, MD
• Bryn Hayes Daisy Borders

• Ophthalmology Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Ophthalmology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.