Kenneth Arthur King, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8017575-9922 Issued in UT

Practice address

10920 River Front Pkwy
Roseman University of Health Sciences, Codm
South Jordan, UT 84095-3538

Phone

(801) 878-1419

Fax

(801) 878-1336

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Roseman University of Health Sciences, a Nevada Non-Profit Corp

  • Dentist
  • South Jordan, UT
  • NPI 1417363821
  NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1164587796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROSEMAN UNIVERSITY OF HEALTH SCIENCES, CODM",
            "address_2": "10894 S RIVER FRONT PARKWAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953538",
            "telephone_number": "801-878-1419",
            "fax_number": "801-878-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 RIVER FRONT PKWY",
            "address_2": "ROSEMAN UNIVERSITY OF HEALTH SCIENCES, CODM",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953538",
            "telephone_number": "801-878-1419",
            "fax_number": "801-878-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KENNETH",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30711",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "8017575-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vihirthan Kesavan, DDS
• Qamar Khan, DO
• Karissa Kim
• Erin Kimball, PA-C
• Dallin B King, DMD
• Zachary B King, DC
• Matthew L Kjar, DMD
• Henry Klein, M.D.
• Brent William Klev, APRN
• Kathryn Klossner, PA-C

• General Practice Dentistry in South Jordan, UT
• Providers in South Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.