Active NPI
John Amos King, RDH
- Dental Hygienist
- Albuquerque, NM
National Provider Identifier
1306340823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH3875
- Practice address
- 2017 San Mateo Blvd NE
Albuquerque, NM 87110-5147 - Phone
- (505) 256-1081
- Fax
- (505) 255-3203
- NPI assigned
- Mar 20, 2018
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH3875 | NM | Primary |
Addresses
Primary practice location
2017 San Mateo Blvd NE
Albuquerque, NM 87110-5147
Mailing address
1524 Gerald Ave SE
Albuquerque, NM 87106-5025
Phone (505) 850-4266
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 |
|---|---|---|---|
| DH3875 | NM | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521504000000",
"number": "1306340823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 GERALD AVE SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065025",
"telephone_number": "505-850-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 SAN MATEO BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105147",
"telephone_number": "505-256-1081",
"fax_number": "505-255-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOHN",
"middle_name": "AMOS",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2018-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NM",
"license": "DH3875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.