Active NPI
Thomas P King, DDS MS
- Pediatric Dentistry
- Kingsport, TN
National Provider Identifier
1043334824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS4208
- Practice address
- 909 North Wilcox Drive
Suite B
Kingsport, TN 37660 - Phone
- (423) 378-3222
- Fax
- (423) 378-5275
- NPI assigned
- Mar 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS4208 | TN | Primary |
Addresses
Primary practice location
909 North Wilcox Drive
Suite B
Kingsport, TN 37660
Mailing address
909 North Wilcox Drive
Suite B
Kingsport, TN 37660
Phone (423) 378-3222
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS4208 | TN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043334824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 NORTH WILCOX DRIVE",
"address_2": "SUITE B",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-378-3222",
"fax_number": "423-378-5275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 NORTH WILCOX DRIVE",
"address_2": "SUITE B",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-378-3222",
"fax_number": "423-378-5275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "DS4208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.