Individual provider Active NPI

Joshua Mark King, DMD

  • Dentist
  • Wellsville, UT
National Provider Identifier
1417524265
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12662883-9922 Issued in UT
Practice address
51 E Main St
Wellsville, UT 84339-9558
Phone
(435) 245-6035
NPI assigned
Jun 9, 2021
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12662883-9922 UT Primary

Addresses

Primary practice location

51 E Main St
Wellsville, UT 84339-9558

Mailing address

75 W 200 S
Wellsville, UT 84339-9707
Phone (435) 640-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901001930 CO Order and Referring Only - DentistPractitioner - Dentist 0345646287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12662883-9922UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellsville Family Dental Dentist CurrentSince Jul 22, 2025 Accepting new patients
Tawzer Dental PastSince Nov 19, 2023 Accepting new patients
North Powers Modern Dentistry, LLP PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1417524265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W 200 S",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "843399707",
            "telephone_number": "435-640-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E MAIN ST",
            "city": "WELLSVILLE",
            "state": "UT",
            "postal_code": "843399558",
            "telephone_number": "435-245-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOSHUA",
        "middle_name": "MARK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "12662883-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsville, UT

Sources for this page

Verify at the official NPI Registry.