Organization Active NPI

Ronald L. King, D.D.S.

  • Dental Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1497944516
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D7821 Issued in MN
Legal business name
RONALD L. KING, D.D.S.
Practice address
6100 Excelsior Blvd
Suite East
St Louis Park, MN 55416-2720
Phone
(952) 929-4545
Fax
(952) 929-4592
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Ronald Lee King, D.D.S.
Title
Owner
Phone
(952) 929-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D7821 MN Primary

Addresses

Primary practice location

6100 Excelsior Blvd
Suite East
St Louis Park, MN 55416-2720

Mailing address

6100 Excelsior Blvd
Suite East
St Louis Park, MN 55416-2720
Phone (952) 929-4545

National Provider Directory

National Provider Directory

Locations

6100 Excelsior Blvd
Ste East
St Louis Park, MN 55416
Phone (952) 929-4545

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1497944516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 EXCELSIOR BLVD",
            "address_2": "SUITE EAST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162720",
            "telephone_number": "952-929-4545",
            "fax_number": "952-929-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 EXCELSIOR BLVD",
            "address_2": "SUITE EAST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162720",
            "telephone_number": "952-929-4545",
            "fax_number": "952-929-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. KING, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-929-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D7821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.