Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Keith Dahl

Individual provider Family Medicine Physician · NPI 1093406704

John Keith Dahl is a Family Practice in Meridian, Idaho. Qualified in 2023, 3 years ago. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4949 S Hillsdale Ave
Meridian, ID 83642-7586
Phone: (208) 706-6400
Fax: (208) 706-6411
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2571382 (ID)

Record details

NPI number1093406704
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Meridian