Active NPI
King Family Medical PLLC
- Family Medicine Physician
- Garland, TX
National Provider Identifier
1104164508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K8927
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2062678 | King Family Medical, PLLC | Provider-performed microscopy | Jul 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Garland, TX
- NPI 1295759025
-
- Physician Assistant
- Garland, TX
- NPI 1033787536
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.