Individual provider Active NPI

Raymund Camilo King, MD, JD

  • General Practice Physician
  • Plano, TX
National Provider Identifier
1639845563
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J0044 Issued in TX
Practice address
6860 Dallas Pkwy Ste 200
Plano, TX 75024-4242
Phone
(214) 697-0870
Fax
(972) 294-3297
NPI assigned
Aug 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X J0044 TX Primary

Addresses

Primary practice location

6860 Dallas Pkwy Ste 200
Plano, TX 75024-4242

Mailing address

6860 Dallas Pkwy Ste 200
Plano, TX 75024-4242
Phone (214) 697-0870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor, Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1639845563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 DALLAS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244242",
            "telephone_number": "214-697-0870",
            "fax_number": "972-294-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 DALLAS PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244242",
            "telephone_number": "214-697-0870",
            "fax_number": "972-294-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "RAYMUND",
        "middle_name": "CAMILO",
        "name_prefix": "Dr.",
        "credential": "MD, JD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J0044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.