Individual provider Active NPI

David Tyler King, DO

  • Family Medicine Physician
  • Laredo, TX
National Provider Identifier
1336778943
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T5597 Issued in TX
Practice address
7210 McPherson Rd Ste 220
Laredo, TX 78041-6505
Phone
(956) 796-4990
NPI assigned
Apr 6, 2020
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X T5597 TX Primary

Addresses

Primary practice location

7210 McPherson Rd Ste 220
Laredo, TX 78041-6505

Mailing address

7210 McPherson Rd Ste 220
Laredo, TX 78041-6505
Phone (956) 796-4990

Other practice location 1

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-5000 ext. 4935

Other names 1

  • D. Tyler King Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620001082 TX Practitioner - Family Practice 3678931912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HCC of Laredo LLCGroup PAC ID 8123386521, 29 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo Medical Center
Laredo, TX 78041-5474
Phone (956) 796-5000

7210 McPherson Rd
Laredo, TX 78041-6507
Phone (956) 796-4990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
T5597TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
HCC of Laredo LLC CurrentSince Apr 13, 2024 Accepting new patients

Locations

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

7210 McPherson Rd
Ste 220
Laredo, TX 78041
Phone (956) 727-0849

8607 McPherson Rd
Ste 102
Laredo, TX 78045
Phone (956) 583-0202

Interoperability endpoints

  • Direct secure messaging: david.king.1@1902.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1336778943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 220",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "956-796-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MCPHERSON RD STE 220",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416505",
            "telephone_number": "956-796-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Saunders St",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780415474",
            "country_code": "US",
            "telephone_number": "956-796-5000 x4935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "DAVID",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T5597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D.",
            "last_name": "KING",
            "middle_name": "TYLER",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.