Active NPI
Alexander Dolan, DO
- Emergency Medicine Physician
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 011006
- Practice address
- Kingman Regional Medical Center
3269 Stockton Hill Rd.
Kingman, AZ 86409 - Phone
- (928) 757-2101
- NPI assigned
- May 31, 2022
- Last updated
- May 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 011006 | AZ | Primary |
Addresses
Primary practice location
Kingman Regional Medical Center
3269 Stockton Hill Rd.
Kingman, AZ 86409
Mailing address
Kingman Regional Medical Center
3269 Stockton Hill Rd.
Kingman, AZ 86409
Phone (928) 757-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Pacific NW Un of HS, Col of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Cowles St
Fairbanks, AK 99701-5907
Phone (907) 452-8181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Heart Emergency Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
Locations
1650 Cowles St
Fairbanks, AK 99701
Phone (907) 452-8181
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Fairbanks, AK
- NPI 1649469446
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1871232769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KINGMAN REGIONAL MEDICAL CENTER",
"address_2": "3269 STOCKTON HILL RD.",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "86409",
"telephone_number": "928-757-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KINGMAN REGIONAL MEDICAL CENTER",
"address_2": "3269 STOCKTON HILL RD.",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "86409",
"telephone_number": "928-757-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "ALEXANDER",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-31",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "011006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.