Active NPI
David Charles King, MD
- Occupational Medicine Physician
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- M-14451
- Practice address
- 750 N Syringa St Ste 100
Post Falls, ID 83854-5275 - Phone
- (208) 262-2348
- Fax
- (208) 457-0015
- NPI assigned
- Sep 6, 2005
- Last updated
- Mar 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | M-14451 | ID | |
| Orthopaedic Surgery Physician | 207X00000X | M-14451 | ID | |
| Occupational Medicine Physician | 2083X0100X | M-14451 | ID | Primary |
Addresses
Primary practice location
750 N Syringa St Ste 100
Post Falls, ID 83854-5275
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2348
Other practice location 1
315 W Dalton Ave Ste A
Coeur D Alene, ID 83815-8600
Phone (208) 262-2348
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043204100 | Medicaid | ID | |
| 1090659 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-14451 | ID | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Idaho Day Surgery LLC | Current | Accepting new patients | |
| Theron C Tilgner D O LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Downtown Orthopedics, P.a. | Orthopaedic Surgery | Past | Accepting new patients |
| North Idaho Day Surgery LLC | Past | Accepting new patients | |
| Wythe County Physician Practices LLC | Past | Accepting new patients | |
| Venia, PLLC | Past | Accepting new patients |
Locations
297 Lake Havasu Ave S
Ste 108
Lk Havasu Cty, AZ 86403
Phone (928) 854-3333
1713 S Kofa Ave
Ste F
Parker, AZ 85344
Phone (520) 669-1666
7173 E Super 1 Loop
Ste A
Athol, ID 83801
Phone (208) 561-9970
315 W Dalton Ave
Ste A
Coeur D Alene, ID 83815
Phone (208) 209-2060
1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300
750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Northwest Specialty Hospital
- General Acute Care Hospital
- Post Falls, ID
- NPI 1104824739
-
dba Orthopedic Innovations
- Orthopaedic Surgery Physician
- Lake Havasu City, AZ
- NPI 1952370975
-
- Multi-Specialty Clinic/Center
- Athol, ID
- NPI 1356265383
-
- Vascular Surgery Physician
- Coeur d'Alene, ID
- NPI 1841234069
-
- Orthopaedic Surgery Physician
- Minnetonka, MN
- NPI 1295841625
-
- Diagnostic Radiology Physician
- Wytheville, VA
- NPI 1457168494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1043204100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545326",
"telephone_number": "208-262-2348",
"fax_number": "208-457-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N SYRINGA ST STE 100",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545275",
"telephone_number": "208-262-2348",
"fax_number": "208-457-0015"
}
],
"practiceLocations": [
{
"address_1": "315 W Dalton Ave Ste A",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838158600",
"country_code": "US",
"telephone_number": "208-262-2348",
"fax_number": "208-457-0015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ID",
"license": "M-14451",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M-14451",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "ID",
"license": "M-14451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043204100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1090659",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.