John D. Kiernan OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1687 Issued in IA

Legal business name

JOHN D. KIERNAN OD

Practice address

1214 Pierce St
Sioux City, IA 51105-1417

Phone

(712) 252-4406

Fax

(712) 252-5296

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John D. Kiernan, O.D.

Title

Owner

Phone

(712) 252-4406

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1912176256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051417",
            "telephone_number": "712-252-4406",
            "fax_number": "712-252-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051417",
            "telephone_number": "712-252-4406",
            "fax_number": "712-252-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D. KIERNAN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "KIERNAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-252-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IA",
            "license": "1687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0264600001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "17801",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Michael Jernberg, D.C.
• Elizabeth Mara Jervik, LMSW
• Daniel R Jimenez, M.D.
• Raheel Jiwan, MD
• Jessilyn Mae Johannsen, RN
• John Welch, DDS, PLLC
• Leann N Johnikin, RDN, LD
• Casey M Johnson, RDN, LD
• Cynthia Jean Johnson, ARNP
• Heather Nicole Johnson

• Eyewear Supplier in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Eyewear Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.