Active NPI
Joseph Maurice King, DDS
- Dentist
- San Ramon, CA
National Provider Identifier
1285971549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62119
- Practice address
- 9130 Alcosta Blvd Ste a
San Ramon, CA 94583-3847 - Phone
- (925) 803-9700
- Fax
- (925) 803-2568
- NPI assigned
- Jan 7, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 62119 | CA | Primary |
Addresses
Primary practice location
9130 Alcosta Blvd Ste a
San Ramon, CA 94583-3847
Mailing address
427 S Golden Gate Ave
Stockton, CA 95205-6646
Phone (415) 424-6406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62119 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1285971549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 S GOLDEN GATE AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952056646",
"telephone_number": "415-424-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9130 ALCOSTA BLVD STE A",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945833847",
"telephone_number": "925-803-9700",
"fax_number": "925-803-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOSEPH",
"middle_name": "MAURICE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.