King Podiatry and Associates PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KING PODIATRY AND ASSOCIATES PLLC

Practice address

1121 N Road St Ste B
Elizabeth City, NC 27909-3470

Phone

(252) 338-2111

Fax

(252) 338-2113

NPI assigned

Oct 18, 2007

Last updated

Jul 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Christain King, DPMNPI 1124025846

Title

Owner

Phone

(252) 338-2111

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Tax ID family

King Podiatry and Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• King Podiatry and Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • Elizabeth City, NC
  • NPI 1851618003
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Christian King, D.P.M.

  • Podiatrist
  • Elizabeth City, NC
  • NPI 1124025846
  Medicare reassignment Care Compare group NPD Authorized official
• Amelia Bezerra Maguire, DPM

  • Primary Podiatric Medicine Podiatrist
  • Elizabeth City, NC
  • NPI 1578213443
  Medicare reassignment Care Compare group NPD
• Amanda Lee Pless, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Asheville, NC
  • NPI 1336513845
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1366631087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093470",
            "telephone_number": "252-338-2111",
            "fax_number": "252-338-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST STE B",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093470",
            "telephone_number": "252-338-2111",
            "fax_number": "252-338-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PODIATRY AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHRISTAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-338-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480003447",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480003447",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "019RE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1124025846",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908112",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Kerline, PHARMD
• Ameer Hazma Khan
• Kids First, Inc. Child Advocacy Center
• Jayesh J Kinariwala, MD
• Kindred Nursing Centers East, L.L.C. (Kindred Transitional Care and Rehabilitation-Elizabeth City)
• King Podiatry and Associates PLLC
• Debracca King, FNP-C
• Kathryn Jones King, MD
• Richard Christian King, D.P.M.
• Paul Andrew Kizen, MD

• Foot & Ankle Surgery Podiatrist in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.