NPIMap

Organization Active NPI

Robert S. King, D.D.S., LTD.

  • Dental Clinic/Center
  • Grayslake, IL
National Provider Identifier
1376609099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROBERT S. KING, D.D.S., LTD.
Practice address
30 N Slusser St
Grayslake, IL 60030-3662
Phone
(847) 223-6474
Fax
(847) 223-8114
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert S King, D.D.S.
Title
Owner
Phone
(847) 223-6474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30 N Slusser St
Grayslake, IL 60030-3662

Mailing address

30 N Slusser St
Grayslake, IL 60030-3662
Phone (847) 223-6474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376609099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N SLUSSER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303662",
            "telephone_number": "847-223-6474",
            "fax_number": "847-223-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N SLUSSER ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303662",
            "telephone_number": "847-223-6474",
            "fax_number": "847-223-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. KING, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-223-6474",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.