King Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

2901011657 Issued in MI

Legal business name

KING DENTAL CENTER

Practice address

15725 E Warren Ave
Detroit, MI 48224-3216

Phone

(313) 881-6980

Fax

(313) 881-0090

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Victor King III, DDSNPI 1528142718

Title

Dentist

Phone

(313) 881-6980

Specialties & licenses 1

Addresses

Tax ID family

John V King DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John V King DDS PC

  • Dental Clinic/Center
  • Detroit, MI
  • NPI 1538433073
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Victor King, D.D.S.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1528142718
  NPD (past) Authorized official

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1437518826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243216",
            "telephone_number": "313-881-6980",
            "fax_number": "313-881-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15725 E WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243216",
            "telephone_number": "313-881-6980",
            "fax_number": "313-881-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-881-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901011657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daria Lashelle Kinchelow, MD
• Jasmine Kinchelow
• Kindred-Connect LLC
• Lisa Kindred
• Kinetic Health Management Solutions, LLC
• King of Arts LLC
• Koki Anita King-Gant
• Christine King-Pore
• Aileen King, OTR/L
• Akiyah Tyann King

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.