Individual provider Active NPI

Mark King, DDS

  • General Practice Dentistry
  • Kansas City, MO
National Provider Identifier
1699702233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2003013101 Issued in MO
Practice address
2816 E 23Rd St
Kansas City, MO 64127-4002
Phone
(816) 231-3955
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2003013101 MO Primary

Addresses

Primary practice location

2816 E 23Rd St
Kansas City, MO 64127-4002

Mailing address

2816 E 23Rd St
Kansas City, MO 64127-4002
Phone (816) 231-3955

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2003013101MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
King Family Dentistry DDS PC General Practice CurrentSince Jul 28, 2024 Accepting new patients
Seton Center Family and Health Services General Practice Past Accepting new patients

Locations

2431 Burlington St
North Kansas City, MO 64116
Phone (816) 221-3255

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699702233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 E 23RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641274002",
            "telephone_number": "816-231-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 E 23RD ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641274002",
            "telephone_number": "816-231-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2003013101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.