Organization Active NPI

King Family Medical PLLC

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1104164508
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8927 Issued in TX
Legal business name
KING FAMILY MEDICAL PLLC
Practice address
5750 Bunker Hill Rd
Garland, TX 75048
Phone
(972) 675-5300
Fax
(972) 675-5301
NPI assigned
Jan 21, 2013
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Scott L King, M.D.
Title
Owner/President
Phone
(972) 675-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K8927 TX Primary

Addresses

Primary practice location

5750 Bunker Hill Rd
Garland, TX 75048

Mailing address

5750 Bunker Hill Rd
Garland, TX 75048
Phone (972) 675-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130410000376 TX Part B Supplier - Clinic/Group Practice 6002052487 Receives reassigned benefits from 3 practitioners
Practice locations: Garland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2062678King Family Medical, PLLC5750 Bunker Hill Road, Garland, TX 75048Provider-performed microscopyJul 18, 2027

National Provider Directory

National Provider Directory

Locations

619 W FM 544
Ste 1A
Murphy, TX 75094
Phone (972) 675-5300

5750 Bunker Hill Rd
Sachse, TX 75048
Phone (972) 675-5300

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1104164508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BUNKER HILL RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75048",
            "telephone_number": "972-675-5300",
            "fax_number": "972-675-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BUNKER HILL RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75048",
            "telephone_number": "972-675-5300",
            "fax_number": "972-675-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-675-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.