Michael Enon King, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008593 Issued in VA

Practice address

16689 River Ridge Blvd
Woodbridge, VA 22191-4630

Phone

(703) 221-9759

Fax

(703) 221-2788

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• TN PPO C-SNP
• KY PPO C-SNP

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Team Dental at River Oaks

  • Exclusive Provider Organization
  • Woodbridge, VA
  • NPI 1447433578
  NPD (past) Authorized official
• Adam Dental Care

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1588120224
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1003002361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16689 RIVER RIDGE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914630",
            "telephone_number": "703-221-9759",
            "fax_number": "703-221-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16689 RIVER RIDGE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914630",
            "telephone_number": "703-221-9759",
            "fax_number": "703-221-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MICHAEL",
        "middle_name": "ENON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Ha Kim, DDS
• Kimberly J. Carr, L.C.S.W., P.C.
• Alesha Dawn Kimmel-Dayen, DPT, PT
• Kind Heart Caregivers LLC
• Kinetic Management and Consulting LLC
• Kingdom Medical Transportation
• Porshca Kinlaw, DDS
• Stella N Kintu, PHARM.D
• Minakshi Kiran
• Melissa Marie Kirkpatrick, MSW, LGSW, CSOTP

• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.