Kevin Michael King, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019020347 Issued in IL

Practice address

12201 S Harlem Ave
Palos Heights, IL 60463-1474

Phone

(708) 671-9245

Fax

(708) 671-9250

NPI assigned

Jul 29, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1265698385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631474",
            "telephone_number": "708-671-9245",
            "fax_number": "708-671-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631474",
            "telephone_number": "708-671-9245",
            "fax_number": "708-671-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Sheehan Killion, M.D.
• Kim and Calvert, M.D., S.C.
• Jerry Y Kim, M.D.
• Ju Hyun Kim, M.D.
• Sonya King-Thomas, LCSW, DHA
• Yun Kipnis, M.D.
• Kirk M. Contento DPM PC
• Todd S Kirk, MD
• Mileta Klimaviciute, PHARMD
• Alexander Wolodymyr Kmicikewycz, MD

• General Practice Dentistry in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.