Carlos J King, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41440 Issued in CA

Practice address

1734 W 1St St
Suite H
Santa Ana, CA 92703-3660

Phone

(714) 542-9785

Fax

(714) 542-1140

NPI assigned

Sep 24, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carlos J. King, DDS Inc.

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1740672211
  NPD (past) Authorized official

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356441927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 W 1ST ST",
            "address_2": "SUITE H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033660",
            "telephone_number": "714-542-9785",
            "fax_number": "714-542-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 W 1ST ST",
            "address_2": "SUITE H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033660",
            "telephone_number": "714-542-9785",
            "fax_number": "714-542-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CARLOS",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "771846",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDER NUMBER",
            "identifier": "B41440-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Kay Kincaid, M.D.
• Sarah Elizabeth Kincaid
• Kindness-Care Home Health
• King Medical Management
• Andrew Cassady King Jr., DPT
• Carlos Javier King Jr., D.D.S.
• Christine Lynne King, DPT
• Lorena King, SLPA
• Sakari King
• Saundra Kaye King, PSYCHIATRIC TECHNICI

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.