Organization Active NPI

John V King DDS PC

  • Dental Clinic/Center
  • Detroit, MI
National Provider Identifier
1538433073
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901011657 Issued in MI
Legal business name
JOHN V KING DDS PC
Practice address
15725 E Warren Ave
Detroit, MI 48224-3216
Phone
(313) 881-6980
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
John King, DDSNPI 1528142718
Title
Owner
Phone
(313) 881-6980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901011657 MI Primary

Addresses

Primary practice location

15725 E Warren Ave
Detroit, MI 48224-3216

Mailing address

15725 E Warren Ave
Detroit, MI 48224-3216
Phone (313) 881-6980

National Provider Directory

National Provider Directory
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.

Locations

15725 E Warren Ave
Detroit, MI 48224
Phone (313) 881-6980

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1538433073",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN V KING DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-881-6980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901011657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.