Active NPI
Michael Durward King
- Counselor
- Oakland, CA
National Provider Identifier
1407048606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2118 Broadway
Oakland, CA 94612-2310 - Phone
- (510) 750-4577
- Fax
- (510) 451-3110
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2118 Broadway
Oakland, CA 94612-2310
Mailing address
2118 Broadway
Oakland, CA 94612-2310
Phone (510) 750-4577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1407048606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122310",
"telephone_number": "510-750-4577",
"fax_number": "510-451-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122310",
"telephone_number": "510-750-4577",
"fax_number": "510-451-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MICHAEL",
"middle_name": "DURWARD",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.