KELLY DAHLSTROM D.O. – NPI #1134533417
Radiology

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Health Care Provider Taxonomy Code for Radiology

KELLY DAHLSTROM is a radiologist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1134533417 to KELLY DAHLSTROM on June 16, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085N0700X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Neuroradiology

The NPI profile was previously updated about 6 years ago on May 05, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY DAHLSTROM below.

NPI Profile for
KELLY DAHLSTROM

NPI Number
1134533417
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY DAHLSTROM
Credentials
D.O.
Primary location
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132-2140
Phone: (801) 581-7553 Fax:
1 Other location(s):
1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-1255
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
May 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085N0700X
- Radiology / Neuroradiology (Primary)		 UT 11262272-1204
2085R0202X
- Radiology / Diagnostic Radiology		 UT 11262272-1204

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KELLY DAHLSTROM is affiliated with the following medical group(s):
  • HOSPITAL
    • HAYS MEDICAL CENTER
      2220 CANTERBURY DRIVE
      HAYS, KS 67601
    • UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS
      514 CLEVELAND STREET
      GREAT BEND, KS 67530
    • UNIVERSITY OF KANSAS HOSPITAL
      4000 CAMBRIDGE STREET
      KANSAS CITY, KS 66160

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How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.