Daniel Robert King, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013766 Issued in MI

Practice address

102 S Washington Ave
Ludington, MI 49431-2283

Phone

(231) 843-2751

Fax

(231) 845-8336

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225056526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S WASHINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312283",
            "telephone_number": "231-843-2751",
            "fax_number": "231-845-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S WASHINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312283",
            "telephone_number": "231-843-2751",
            "fax_number": "231-845-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth C. Hill, M. D., P. C.
• Kent Vision Centers Inc
• Kerry M. Simon, M.D., P.C.
• Rodney Lee Kilpatrick, D.O.
• King & Aloe PC
• Lisa Kirk
• Thomas Kirkconnell
• Alicia Kleyn, LLP
• Camryn Klint
• Zane M Knoer, DO

• General Practice Dentistry in Ludington, MI
• Providers in Ludington, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.