Individual provider Active NPI

Larry Neil King, DC

  • Chiropractor
  • Gaithersburg, MD
National Provider Identifier
1356413686
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
466PT Issued in MD
Practice address
19392 Montgomery Village Ave.
Suite a
Gaithersburg, MD 20886-3000
Phone
(301) 926-5200
Fax
(301) 869-5417
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 466PT MD Primary

Addresses

Primary practice location

19392 Montgomery Village Ave.
Suite a
Gaithersburg, MD 20886-3000

Mailing address

19392A Montgomery Village Ave.
Gaithersburg, MD 20886-3000
Phone (301) 926-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000070 MD Practitioner - Chiropractic 9133396971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10154 River Rd
Suite 100
Potomac, MD 20854-4958
Phone (240) 403-7103

3280 Urbana Pike
Suite 206
Ijamsville, MD 21754-9406
Phone (301) 872-9002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
466PTMDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
King Chiropractic of Urbana Chiropractor CurrentSince Mar 12, 2012 Accepting new patients
King Chiropractic of Urbana Chiropractor Past Accepting new patients

Locations

19392 Montgomery Village Ave
#A
Montgomry Vlg, MD 20886
Phone (301) 926-5200

10154 River Rd
Ste 100
Potomac, MD 20854
Phone (240) 403-7103

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356413686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19392A MONTGOMERY VILLAGE AVE.",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863000",
            "telephone_number": "301-926-5200",
            "fax_number": "301-869-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19392 MONTGOMERY VILLAGE AVE.",
            "address_2": "SUITE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863000",
            "telephone_number": "301-926-5200",
            "fax_number": "301-869-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LARRY",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "466PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.