Kingsley Dohnwana

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Practice address

1126 Marlys Dr W
West Fargo, ND 58078-2956

Phone

(701) 541-9073

NPI assigned

Sep 30, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1821816638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 MARLYS DR W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782956",
            "telephone_number": "701-541-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 MARLYS DR W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782956",
            "telephone_number": "701-541-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHNWANA",
        "first_name": "KINGSLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Diekman
• Steven Michael Diekman, D.D.S.
• Divine Allen'S Healthcare LLC
• David D Dobmeier, D.D.S.
• Elaine Doerfler, MS, CCC/SLP
• Audrey Dominguez
• Sanjuanita Dominguez
• Stacy Donahue
• Alfonso Mawotee Dormu
• Dezja Dotson

• All providers in West Fargo, ND
• Assisted Living Facility (Behavioral Disturbances) in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.