Active NPI
Richard Christian King, D.P.M.
- Podiatrist
- Elizabeth City, NC
National Provider Identifier
1124025846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 167
- Practice address
- 1121 N Road St
Suite B
Elizabeth City, NC 27909-3334 - Phone
- (252) 338-2111
- Fax
- (252) 338-2113
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 167 | NC | Primary |
Addresses
Primary practice location
1121 N Road St
Suite B
Elizabeth City, NC 27909-3334
Mailing address
1121 N Road St
Suite B
Elizabeth City, NC 27909-3334
Phone (252) 338-2111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243092A | Other | MEDICARE | |
| 08112 | Other | NC | BCBS |
| 7908112 | Medicaid | NC | |
| 480003447 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1121 N Rd St
Suite B
Elizabeth City, NC 27909-3470
Phone (252) 338-2111
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.93 of 100
- Quality
- 36.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 154 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 722 |
| Removal or shaving of skin growth | 425 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167 | NC | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King Podiatry and Associates PLLC | Current | Accepting new patients | |
| King Podiatry and Associates PLLC | Podiatrist | Current | Accepting new patients |
Locations
1121 N Road St
Ste B
Elizabeth Cty, NC 27909
Phone (252) 338-2111
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Elizabeth City, NC
- NPI 1366631087
-
- Primary Podiatric Medicine Podiatrist
- Kitty Hawk, NC
- NPI 1073126223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1124025846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 N ROAD ST",
"address_2": "SUITE B",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093334",
"telephone_number": "252-338-2111",
"fax_number": "252-338-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 N ROAD ST",
"address_2": "SUITE B",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093334",
"telephone_number": "252-338-2111",
"fax_number": "252-338-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "RICHARD",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "243092A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08112",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7908112",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480003447",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.
- 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.