Jennifer Katherine King, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE000008213 Issued in WA

Practice address

109 W Yakima Ave
Selah, WA 98942-1364

Phone

(509) 697-4821

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jennifer K. King, DDS, PLLC

  • General Practice Dentistry
  • Selah, WA
  • NPI 1528139698

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1083693451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WEST YAKIMA AVENUE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "98942",
            "telephone_number": "509-697-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W YAKIMA AVE",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421364",
            "telephone_number": "509-697-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE000008213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Johnson
• Laurie L Jones, M.F.T.
• Tonjia Lee Jones, A.R.N.P.
• Angela Marie Kelsey, LMP
• Kalli Araya Kembel
• Katie Klein, CCC-SLP
• Crystal Kosik, ARNP-C
• Kyle Washut, DDS, PLLC
• Julia C Lafortune
• Brittanie K-Lyn Lane, FNP-C

• All providers in Selah, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.