Active NPI
Justin Eugene King, DO
- Family Medicine Physician
- Des Moines, IA
National Provider Identifier
1073253696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-55471
- Practice address
- 1111 6TH Ave
Des Moines, IA 50314-2613 - Phone
- (515) 643-2261
- Fax
- (515) 643-5802
- NPI assigned
- Mar 31, 2022
- Last updated
- May 11, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IA | ||
| Family Medicine Physician | 207Q00000X | DO-55471 | IA | Primary |
| Internal Medicine Physician | 207R00000X | R-12499 | IA |
Addresses
Primary practice location
1111 6TH Ave
Des Moines, IA 50314-2613
Mailing address
PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519
Other practice location 1
5837 Winwood Dr
Johnston, IA 50131-1651
Phone (515) 643-4915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2353 SE 14TH St
Des Moines, IA 50320-1109
Phone (515) 248-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-55471 | IA | MD | Family Medicine Physician |
| R-12499 | IA | MD | Internal Medicine Physician |
Organizations & group practices 2
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 Primary Health Care-Bery Engebretsen Clinic
- Federally Qualified Health Center (FQHC)
- Des Moines, IA
- NPI 1588692487
-
dba MercyOne Clive Family Medicine Clinic
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1073253696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674721",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674721",
"telephone_number": "515-643-2519",
"fax_number": "515-643-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142613",
"telephone_number": "515-643-2261",
"fax_number": "515-643-5802"
}
],
"practiceLocations": [
{
"address_1": "5837 Winwood Dr",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "IA",
"postal_code": "501311651",
"country_code": "US",
"telephone_number": "515-643-4915",
"fax_number": "515-643-8804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "JUSTIN",
"middle_name": "EUGENE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-55471",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R-12499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.