George T. King

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31813 Issued in CA

Legal business name

GEORGE T. KING

Practice address

1648 Joseph St
Livingston, CA 95334-1632

Phone

(209) 394-8090

Fax

(209) 394-9025

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Martha Mendoza

Title

Manager

Phone

(209) 394-8090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1306019245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 JOSEPH ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341632",
            "telephone_number": "209-394-8090",
            "fax_number": "209-394-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 JOSEPH ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341632",
            "telephone_number": "209-394-8090",
            "fax_number": "209-394-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE T. KING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-394-8090"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Livingston, CA
• Providers in Livingston, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.