Peter L. King D.P.M.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

SC002869L Issued in PA

Legal business name

PETER L. KING D.P.M.

Practice address

501 S 54TH St
Suite 230
Philadelphia, PA 19143-1900

Phone

(215) 747-0440

Fax

(215) 748-9807

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Viola

Title

Office Manager

Phone

(610) 623-1599

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1427220102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S 54TH STREET",
            "address_2": "SUITE 230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-747-0440",
            "fax_number": "215-748-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 54TH ST",
            "address_2": "SUITE 230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431900",
            "telephone_number": "215-747-0440",
            "fax_number": "215-748-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L. KING D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "VIOLA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-623-1599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "SC002869L",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "SC002869L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony X Petchalonis, DMD
• Lavanya Petchetti, M.D.
• Erin A Pete Devon, M.D.
• Peter J. Koblenzer
• Peter Kelly LLC
• Peter Leon Inc
• Peter R Honig DO PC
• Peter Vassalluzzo D.O.
• Ajay Peter
• Lian Peter, M.D.

• All providers in Philadelphia, PA
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.