Individual provider Active NPI

Dennis R. King, M.D.

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1013139906
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25725 Issued in TN
Practice address
11416 Grigsby Chapel Rd Ste 102
Knoxville, TN 37934-1770
Phone
(865) 392-1717
Fax
(865) 392-1719
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 241884 MA
Family Medicine Physician 207Q00000X 40938 GA
Family Medicine Physician 207Q00000X 25725 TN Primary

Addresses

Primary practice location

11416 Grigsby Chapel Rd Ste 102
Knoxville, TN 37934-1770

Mailing address

11416 Grigsby Chapel Rd Ste 102
Knoxville, TN 37934-1770
Phone (865) 392-1717

Other practice location 1

10731 Chapman Hwy
Seymour, TN 37865-4765
Phone (865) 573-0698

Other identifiers 1

IdentifierTypeStateIssuer
003109868AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40938GAMDFamily Medicine Physician
241884MAMDFamily Medicine Physician
25725TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medray Enterprises, PLLC Family Medicine Current Accepting new patients
New Lexington Clinic, PSC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

11416 Grigsby Chapel Rd
Ste 102
Knoxville, TN 37934
Phone (865) 392-1717

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1013139906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11416 GRIGSBY CHAPEL RD STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341770",
            "telephone_number": "865-392-1717",
            "fax_number": "865-392-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11416 GRIGSBY CHAPEL RD STE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341770",
            "telephone_number": "865-392-1717",
            "fax_number": "865-392-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10731 Chapman Hwy",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "TN",
            "postal_code": "378654765",
            "country_code": "US",
            "telephone_number": "865-573-0698",
            "fax_number": "865-573-3174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "DENNIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "241884",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "40938",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "25725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109868A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.