Active NPI
Dennis K King, MD
- Pulmonary Disease Physician
- Melbourne, FL
National Provider Identifier
1710043054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME53037
- Practice address
- 1401 S Apollo Blvd
Suite a
Melbourne, FL 32901-3179 - Phone
- (321) 952-5272
- Fax
- (321) 952-7262
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME53037 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | ME53037 | FL | |
| Pulmonary Disease Physician | 207RP1001X | ME53037 | FL | Primary |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | ME53037 | FL |
Addresses
Primary practice location
1401 S Apollo Blvd
Suite a
Melbourne, FL 32901-3179
Mailing address
1401 S Apollo Blvd
Suite a
Melbourne, FL 32901-3179
Phone (321) 952-5272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM7369 | Other | FL | RAILROAD MEDICARE |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis K King MD PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1710043054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S APOLLO BLVD",
"address_2": "SUITE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013179",
"telephone_number": "321-952-5272",
"fax_number": "321-952-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S APOLLO BLVD",
"address_2": "SUITE A",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013179",
"telephone_number": "321-952-5272",
"fax_number": "321-952-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DENNIS",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME53037",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "ME53037",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME53037",
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "FL",
"license": "ME53037",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM7369",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.