Clinton Allen King, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E2655 Issued in TX

Practice address

10657 Vista del Sol
Suite a
El Paso, TX 79935-4504

Phone

(915) 598-3943

Fax

(915) 598-3557

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Meharry Medical College School of Medicine, 1973

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639239692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10657 VISTA DEL SOL",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354504",
            "telephone_number": "915-598-3943",
            "fax_number": "915-598-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10657 VISTA DEL SOL",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354504",
            "telephone_number": "915-598-3943",
            "fax_number": "915-598-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CLINTON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E2655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kind Roots Healthcare Services of El Paso LLC
• Brenda Kinderman
• Kinective Fitness Club LLC
• Dominic Ryan King-Salopek
• Barry G King, MD
• David Benjamin King
• Kingsway Medical Center PLLC
• Kinino PLLC
• Tammy Kinson, LCSW
• Christopher K Kipkoech

• Dermatology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.