DR. MARK T DAHL M.D. NPI 1508862194

NPI Information

  • NPI: 1508862194
  • Provider Name: DR. MARK T DAHL, M.D.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5803 NEAL AVE N
    OAK PARK HEIGHTS, MN
    ZIP 55082
  • Phone: (651) 439-8807

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NPI Details

DR. Mark T Dahl, M.D. is an orthopaedic surgery in Oak Park Heights, MN with 46 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Mark T Dahl, M.D. NPI is 1508862194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:1980

The provider's business location address is:

5803 NEAL AVE N
OAK PARK HEIGHTS, MN
ZIP 55082-177
Phone: (651) 439-8807
Fax: (651) 439-0232

The NPI 1508862194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery26212MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A95586MEDICARE UPIN
2200002115MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMN MEDICARE ID
30572890001MEDICARE NSCMINNESOTA
431946300MEDICAIDWISCONSIN
5853077700MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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