Alan J King, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

359 Issued in ND

Practice address

341 1St St E
Dickinson, ND 58601-5216

Phone

(701) 483-9141

Fax

(701) 483-9501

NPI assigned

Jan 30, 2006

Last updated

Jan 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1922079821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 1ST ST E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015216",
            "telephone_number": "701-483-9141",
            "fax_number": "701-483-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 1ST ST E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015216",
            "telephone_number": "701-483-9141",
            "fax_number": "701-483-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ALAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KIN22921",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080525",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60164",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA VISION",
            "identifier": "KIN870359",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garreth R Kerr
• Nancy Lee Kienzle
• Jennifer J Kilian
• Ralph Kilzer, MD
• Marsha Lanell King Osborne, LPC
• Catherine King
• Rachel Renee Kisse, PA-C
• Whitney R Kitzan
• Kylee Kleppen, RBT
• Erin N Kline

• Optometrist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.