Lisa King DDS Ms PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1752 Issued in NM

Legal business name

LISA KING DDS MS PA

Practice address

8300 Carmel Ave NE
Suite 403
Albuquerque, NM 87122-3147

Phone

(505) 266-7678

Fax

(505) 299-7070

NPI assigned

Sep 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa King, DDS MSNPI 1336138684

Title

Owner/President

Phone

(505) 299-7678

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa King, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albuquerque, NM
  • NPI 1336138684
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528169174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE",
            "address_2": "SUITE 403",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223147",
            "telephone_number": "505-266-7678",
            "fax_number": "505-299-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE",
            "address_2": "SUITE 403",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223147",
            "telephone_number": "505-266-7678",
            "fax_number": "505-299-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KING DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "505-299-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "1752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84698",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria I Lipp, M.S., CCC-SLP
• Mary Lipscomb, MD
• Eva Maria Lipton-Ormand, LMT
• Lisa a Pulsipher Aud LLC (East Mountain Hearing & Balance)
• Lisa J Johnson LMFT LLC
• Lisa Koffman LCSW LLC
• Lisa Sisneros Brow, Speech-Language Pathologist, LLC
• Donna Lisansky, APRN,BC
• Elenah Lisignoli, AGACNP-BS
• Amanda Liss, PA

• Orthodontics and Dentofacial Orthopedics Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.