Active NPI
King Orthodontics, LTD
- Dental Clinic/Center
- Rochester, MN
National Provider Identifier
1114169224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 11171
- Legal business name
- KING ORTHODONTICS, LTD
- Practice address
- 3000 43Rd St NW
Rochester, MN 55901-5847 - Phone
- (507) 424-3632
- Fax
- (507) 281-8757
- NPI assigned
- Apr 3, 2009
- Organization subpart
- Yes
- Parent organization
- KING ORTHODONTICS, LTD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darrin Lee King, DDS
- Title
- Orthodontist
- Phone
- (507) 424-3632
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 11171 | MN | Primary |
Addresses
Primary practice location
3000 43Rd St NW
Rochester, MN 55901-5847
Mailing address
1575 20TH St NW
Suite 202
Faribault, MN 55021-2930
Phone (507) 332-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719448000 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- King Orthodontics LTD
- Part of
- King Orthodontics LTD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Faribault, MN
- NPI 1306018544
-
- Dental Clinic/Center
- Owatonna, MN
- NPI 1841432952
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dental Clinic/Center
- Faribault, MN
- NPI 1306018544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243382400000",
"number": "1114169224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 20TH ST NW",
"address_2": "SUITE 202",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550212930",
"telephone_number": "507-332-0022",
"fax_number": "507-333-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 43RD ST NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559015847",
"telephone_number": "507-424-3632",
"fax_number": "507-281-8757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING ORTHODONTICS, LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KING ORTHODONTICS, LTD",
"enumeration_date": "2009-04-03",
"last_updated": "2009-05-27",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DARRIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "507-424-3632",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MN",
"license": "11171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "719448000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.