Individual provider Active NPI

Daniel John Dahl, M.S., PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1982854519
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-2677 Issued in CO
Practice address
3865 Cherry Creek North Dr
Suite 322
Denver, CO 80209-3803
Phone
(303) 388-6410
Fax
(303) 388-1069
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-2677 CO Primary

Addresses

Primary practice location

3865 Cherry Creek North Dr
Suite 322
Denver, CO 80209-3803

Mailing address

3865 Cherry Creek North Dr
Suite 322
Denver, CO 80209-3803
Phone (303) 388-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-2677COMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1982854519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 CHERRY CREEK NORTH DR",
            "address_2": "SUITE 322",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093803",
            "telephone_number": "303-388-6410",
            "fax_number": "303-388-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 CHERRY CREEK NORTH DR",
            "address_2": "SUITE 322",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802093803",
            "telephone_number": "303-388-6410",
            "fax_number": "303-388-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-2677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.