Thomas Upsitur King III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS014278-L Issued in PA

Practice address

1725 W. Erie Ave.
Phila, PA 19140-3544

Phone

(215) 226-1188

Fax

(215) 226-6909

NPI assigned

Dec 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1346579968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W. ERIE AVE.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191403544",
            "telephone_number": "215-226-1188",
            "fax_number": "215-226-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W. ERIE AVE.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191403544",
            "telephone_number": "215-226-1188",
            "fax_number": "215-226-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "THOMAS",
        "middle_name": "UPSITUR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS014278-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youssef M Khaldi, B.A.
• Dennis J Khoury, M.D.
• John Y Kim
• Amanda Kimmel, MEDICAL CASE MANAGER
• Nicole A Kimzey, D.O.
• George E Kinsler, RPH
• Jean H Kirk, MD
• Mimi Kirk, LCSW
• Caren Gever Kirschner, M.D.
• Rosalie Kmiec, R.N., I.B.C.L.C

• General Practice Dentistry in Phila, PA
• Providers in Phila, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.