King Aesthetics, LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

KING AESTHETICS, LLC

Practice address

585 Murphy Rd
Medford, OR 97504-8128

Phone

(541) 292-6464

Fax

(458) 225-9821

NPI assigned

Oct 21, 2024

Last updated

Oct 21, 2024By 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

Julie King, MDNPI 1376576991

Title

Owner

Phone

(541) 292-6464

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Julie Ann King, MD

  • Obstetrics & Gynecology Physician
  • Medford, OR
  • NPI 1376576991
  NPD Authorized official
• Elizabeth Roya Emami, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Medford, OR
  • NPI 1780604207
  NPD
• Douglas Guy Smith, OD

  • Optometrist
  • Medford, OR
  • NPI 1083786644
  NPD (past)

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1528889755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048128",
            "telephone_number": "541-292-6464",
            "fax_number": "458-225-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048128",
            "telephone_number": "541-292-6464",
            "fax_number": "458-225-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-292-6464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minji Kim, M.D.
• Sunny Kim
• Megan Kimball, LMSW
• Hannah Jane Kimbel
• Rebecca Ann Kimmel, PHARMD
• King Health & Wellness, LLC
• Georgia King, M.A.
• Jasmyne King, QMHP
• Jeremy Richard King, DMD
• Julie Ann King, MD

• Procedural Dermatology Physician in Medford, OR
• Providers in Medford, OR by specialty
• Procedural Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.