NPIMap

Organization Active NPI

King Oral Surgery Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • White Plains, MD
National Provider Identifier
1316505720
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KING ORAL SURGERY ASSOCIATES LLC
Practice address
4255 Altamont PL Ste 302
White Plains, MD 20695-3082
Phone
(301) 645-4555
NPI assigned
May 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Dr. Michael King, DDSNPI 1194845222
Title
Owner
Phone
(615) 293-3744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4255 Altamont PL Ste 302
White Plains, MD 20695-3082

Mailing address

4255 Altamont PL Ste 302
White Plains, MD 20695-3082
Phone (301) 645-4555

National Provider Directory

National Provider Directory

Locations

4255 Altamont Pl
Ste 302
White Plains, MD 20695
Phone (301) 645-4555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1316505720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL STE 302",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953082",
            "telephone_number": "301-645-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 ALTAMONT PL STE 302",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953082",
            "telephone_number": "301-645-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING ORAL SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-293-3744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.