Individual provider Active NPI

Benjamin C King, L.M.P.

  • Massage Therapist
  • Walla Walla, WA
National Provider Identifier
1346468360
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00014190 Issued in WA
Practice address
800 Sprague Ave
Suite #104
Walla Walla, WA 99362-3900
Phone
(509) 540-7211
Fax
(888) 972-3661
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00014190 WA Primary

Addresses

Primary practice location

800 Sprague Ave
Suite #104
Walla Walla, WA 99362-3900

Mailing address

83068 Lower Dry Creek Rd
Milton Freewater, OR 97862-7328
Phone (509) 540-7211

Other identifiers 1

IdentifierTypeStateIssuer
4750KIOtherWAPROVIDER RIDER NUMBER

Other names 1

  • Hands of Hope Massage Professional name

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

LicenseStateTypeSpecialty
MA00014190WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1346468360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83068 LOWER DRY CREEK RD",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978627328",
            "telephone_number": "509-540-7211",
            "fax_number": "888-972-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRAGUE AVE",
            "address_2": "SUITE #104",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623900",
            "telephone_number": "509-540-7211",
            "fax_number": "888-972-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BENJAMIN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00014190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER RIDER NUMBER",
            "identifier": "4750KI",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANDS OF HOPE",
            "last_name": "MASSAGE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.