Active NPI
David Alston Koning
- Occupational Therapy Assistant
- Brown City, MI
National Provider Identifier
1366084055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 5202008482
- Practice address
- 4940 Van Dyke Rd
Brown City, MI 48416-9683 - Phone
- (810) 886-1564
- NPI assigned
- Oct 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202008482 | MI | Primary |
Addresses
Primary practice location
4940 Van Dyke Rd
Brown City, MI 48416-9683
Mailing address
4940 Van Dyke Rd
Brown City, MI 48416-9683
Phone (810) 886-1564
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dkonin02@baker.edu | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202008482 | MI | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1366084055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 VAN DYKE RD",
"city": "BROWN CITY",
"state": "MI",
"postal_code": "484169683",
"telephone_number": "810-886-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 VAN DYKE RD",
"city": "BROWN CITY",
"state": "MI",
"postal_code": "484169683",
"telephone_number": "810-886-1564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONING",
"first_name": "DAVID",
"middle_name": "ALSTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MI",
"license": "5202008482",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dkonin02@baker.edu",
"affiliation": "N",
"endpointDescription": "Professional Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4940 Van Dyke Rd",
"city": "Brown City",
"state": "MI",
"country_code": "US",
"postal_code": "484169683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brown City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.