Dr. Alan Ottinger,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

377 Issued in ND

Legal business name

DR. ALAN OTTINGER,PC

Practice address

2655 24TH Ave S
Grand Forks, ND 58201-6180

Phone

(701) 746-7979

Fax

(701) 746-9758

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan David Ottinger, DC

Title

President

Phone

(701) 746-7979

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790995736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 24TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016180",
            "telephone_number": "701-746-7979",
            "fax_number": "701-746-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 24TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016180",
            "telephone_number": "701-746-7979",
            "fax_number": "701-746-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALAN OTTINGER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTTINGER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-746-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1265538276",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.