Garrett King, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61582 Issued in CA

Practice address

29819 Santa Margarita Pkwy Ste 200
Rancho Santa Margarita, CA 92688-3620

Phone

(949) 459-0399

NPI assigned

Apr 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 10, 2015 through Jul 10, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ballard King Dental Partnership

  • Dentist
  • Rancho Santa Margarita, CA
  • NPI 1639735368
  NPD (past) Authorized official
• Penrod Dental Care, Inc.

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1730364944
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1124318654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29819 SANTA MARGARITA PKWY STE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883620",
            "telephone_number": "949-459-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29819 SANTA MARGARITA PKWY STE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883620",
            "telephone_number": "949-459-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GARRETT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Kennedy, OTR/L
• Kaitlin Kennedy, RDH
• Jessie Kensey
• Kidiatrics Medical Group, Inc.
• Saemin Kim
• Juliet Noel King
• Robert Joseph King
• Brad Kingma, LMFT
• Michael Kingsbury, A.T.C.
• Nicholas Kleen

• General Practice Dentistry in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.