NPIMap

Individual provider Active NPI

Charles F Dahl, MD

  • Cardiovascular Disease Physician
  • Orem, UT
National Provider Identifier
1912965344
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1597521205 Issued in UT
Practice address
700 W 800 N Ste 444
Orem, UT 84057-6305
Phone
(801) 714-6412
Fax
(801) 714-6412
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1597521205 UT Primary

Addresses

Primary practice location

700 W 800 N Ste 444
Orem, UT 84057-6305

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001120 UT Practitioner - Cardiovascular Disease (Cardiology) 7315935079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Arizona College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Revere Health PCGroup PAC ID 7517868508, 407 clinicians
Mountainstar Cardiology St Marks LLCGroup PAC ID 2961661855, 42 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380

1055 N 500
Provo, UT 84604-3305
Phone (801) 429-8000

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

700 W 800
Suite 444
Orem, UT 84057-6305
Phone (801) 714-6412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1597521205UTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Mountainstar Cardiovascular Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Mountainstar Cardiology St Marks LLC CurrentSince Dec 1, 2025 Accepting new patients
Revere Health PC CurrentSince Mar 22, 2004 Accepting new patients
Revere Health PC CurrentSince Mar 22, 2004 Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 29, 2009 Accepting new patients
Ihc Health Services Inc CurrentSince Mar 29, 2009 Accepting new patients

Locations

36 N 1100 E
Ste A
American Fork, UT 84003
Phone (801) 772-0698

1175 E 50 S
Ste 211
American Fork, UT 84003
Phone (801) 418-0807

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Ste 101
Provo, UT 84604

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

1000 N Main St
Richfield, UT 84701
Phone (435) 893-4100

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

3930 W Parkway Blvd
West Valley City, UT 84120
Phone (435) 462-2441

Interoperability endpoints

  • Direct secure messaging: charlesdahl@cuccu.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1912965344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 800 N STE 444",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840576305",
            "telephone_number": "801-714-6412",
            "fax_number": "801-714-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "CHARLES",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "1597521205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.