Active NPI
Michael J King DPM
- Foot & Ankle Surgery Podiatrist
- Fall River, MA
National Provider Identifier
1003967894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1855
- Legal business name
- MICHAEL J KING DPM
- Practice address
- 222 Milliken Blvd
Fall River, MA 02721-1623 - Phone
- (508) 679-5700
- Fax
- (508) 679-7759
- NPI assigned
- Jan 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael J King, DPM
- Title
- Owner
- Phone
- (508) 679-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1855 | MA | Primary |
Addresses
Primary practice location
222 Milliken Blvd
Fall River, MA 02721-1623
Mailing address
222 Milliken Blvd
Fall River, MA 02721-1623
Phone (508) 679-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9710311 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1003967894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MILLIKEN BLVD",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211623",
"telephone_number": "508-679-5700",
"fax_number": "508-679-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MILLIKEN BLVD",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211623",
"telephone_number": "508-679-5700",
"fax_number": "508-679-7759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J KING DPM",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-679-5700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "1855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9710311",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.