Caesie Rae King, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN.00203588 Issued in CO

Practice address

950 Baptist Rd Ste 100
Monument, CO 80132-7711

Phone

(719) 481-5807

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1356833479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 DERBYSHIRE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809104497",
            "telephone_number": "719-220-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 BAPTIST RD STE 100",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801327711",
            "telephone_number": "719-481-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CAESIE",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Caesie.reynolds@pacden.com",
            "affiliation": "N",
            "address_1": "950 Baptist Rd Ste 100",
            "city": "Monument",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801327711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Unruh, Inc
• Jennifer Kahan, NURSE PRACTITIONER
• Katie Bair DC PLLC
• Jordan Rae Keairnes
• Joshua Javier Keenan, DPT
• Michele King, PSY.D.
• Skyler Isabella King
• Tilden D Kinlaw, D.C.
• Rebekah Kennedy Kinsey
• Michelle Marie Klismith, M.D.

• General Practice Dentistry in Monument, CO
• Providers in Monument, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.