NPIMap

Organization Active NPI

J Michael King MD PC

Doing business as Peak ENT and Voice Center

  • Otolaryngology Physician
  • Broomfield, CO
National Provider Identifier
1104113430
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
J MICHAEL KING MD PC
Doing business as
Peak ENT and Voice Center
Practice address
403 Summit Blvd Unit 204
Broomfield, CO 80021-8253
Phone
(720) 401-2139
Fax
(303) 469-2898
NPI assigned
Jul 7, 2011
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Dr. Justin Michael King, M.D.NPI 1497938567
Title
Owner
Phone
(720) 401-2139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

403 Summit Blvd Unit 204
Broomfield, CO 80021-8253

Mailing address

1276 Hawk Ridge Rd
Lafayette, CO 80026-2985
Phone (720) 401-2139

Other names 1

  • Peak ENT and Voice Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000144 CO Part B Supplier - Clinic/Group Practice 4183898877 Receives reassigned benefits from 16 practitioners
Practice locations: Brighton, CO; Broomfield, CO; Denver, CO; Golden, CO

National Provider Directory

National Provider Directory

Locations

413 Summit Blvd
Unit 201
Broomfield, CO 80021
Phone (303) 464-7243

1818 N Ogden St
Ste 310
Denver, CO 80218
Phone (720) 401-2139

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3333/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1104113430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 HAWK RIDGE RD",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262985",
            "telephone_number": "720-401-2139",
            "fax_number": "303-469-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SUMMIT BLVD UNIT 204",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800218253",
            "telephone_number": "720-401-2139",
            "fax_number": "303-469-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MICHAEL KING MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-401-2139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak ENT and Voice Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak ENT and Voice Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.