Michael J King DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8261 Issued in MN

Legal business name

MICHAEL J KING DDS PA

Practice address

2738 Winnetka Ave No
Minneapolis, MN 55427-2850

Phone

(763) 544-5919

Fax

(763) 544-2856

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jeffrey King, DDS

Title

Owner Dentist

Phone

(763) 544-5919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1427151968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE NO",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "763-544-5919",
            "fax_number": "763-544-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 WINNETKA AVE NO",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554272850",
            "telephone_number": "763-544-5919",
            "fax_number": "763-544-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J KING DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER    DENTIST",
        "authorized_official_telephone_number": "763-544-5919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael T Brooks LLC
• Justine Michael-Gilbert, MS, LPCC

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.