NPIMap

Organization Active NPI

King Orthodontics LTD

  • Dental Clinic/Center
  • Faribault, MN
National Provider Identifier
1306018544
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11171 Issued in MN
Legal business name
KING ORTHODONTICS LTD
Practice address
1575 20TH St NW
Suite 202
Faribault, MN 55021-2930
Phone
(507) 332-0022
Fax
(507) 333-9553
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Darrin L. King, DDSNPI 1528056835
Title
Orthodontist
Phone
(507) 332-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11171 MN Primary

Addresses

Primary practice location

1575 20TH St NW
Suite 202
Faribault, MN 55021-2930

Mailing address

1575 20TH St NW
Suite 202
Faribault, MN 55021-2930
Phone (507) 332-0022

National Provider Directory

National Provider Directory
Tax ID family
King Orthodontics LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1575 20th St NW
Ste 202
Faribault, MN 55021
Phone (507) 332-0022

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1306018544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW",
            "address_2": "SUITE 202",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-332-0022",
            "fax_number": "507-333-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW",
            "address_2": "SUITE 202",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-332-0022",
            "fax_number": "507-333-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING ORTHODONTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "507-332-0022",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "11171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.