Donald A Dahlen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

56848 Issued in MN

Practice address

301 Highway 65 S
Mora, MN 55051-1899

Phone

(320) 679-1313

NPI assigned

Aug 2, 2006

Last updated

May 6, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Welia Health

  • Critical Access Hospital
  • Mora, MN
  • NPI 1528031390
  Medicare reassignment NPD
• Mill Pond Family Physicians, Inc.

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1174637540
  NPD Authorized official
• Welia Health

  • Critical Access Hospital Clinic/Center
  • Mora, MN
  • NPI 1972811362
  NPD
• Welia Health

  • Rural Health Clinic/Center
  • Pine City, MN
  • NPI 1992012207
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1881601557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-679-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-679-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLEN",
        "first_name": "DONALD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-05-06",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "56848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453334",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddahlen212580@excellian.direct.allina.com",
            "affiliation": "Y",
            "affiliationName": "Welia Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "620 Sandy Ln",
            "city": "Hinckley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550378381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Cone, PTA
• Brooke Copeland, MA, LADC, LPCC
• County of Kanabec (Kanabec County Community Health)
• County of Kanabec (Kanabec-Pine Community Health)
• County of Kanabec (Kanabec County Public Health Hospice)
• Michael D Dahlheim
• Rachel Ann Dahlquist, CNP
• Darla Danielson Anderson, FNP
• Heidi Sue Deutschlander, RN, CNP
• Peter J Donner, MD

• Family Medicine Physician in Mora, MN
• Providers in Mora, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.