Organization Active NPI

Thomas I King DPM PC

  • Podiatrist
  • Madison Heights, MI
National Provider Identifier
1710126156
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TK001638 Issued in MI
Legal business name
THOMAS I KING DPM PC
Practice address
1431 East Twelve Mile Rd
Buillding C
Madison Heights, MI 48071
Phone
(248) 542-5374
Fax
(248) 398-4345
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Thomas I King, DPM
Title
Physician
Phone
(248) 542-7354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X TK001638 MI Primary

Addresses

Primary practice location

1431 East Twelve Mile Rd
Buillding C
Madison Heights, MI 48071

Mailing address

1431 East Twelve Mile Rd
Buillding C
Madison Heights, MI 48071
Phone (248) 542-5374

Other identifiers 1

IdentifierTypeStateIssuer
133361070MedicaidMI

National Provider Directory

National Provider Directory

Locations

1431 E 12 Mile Rd
Bldg C
Madison Heights, MI 48071
Phone (248) 398-4614

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1710126156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 EAST TWELVE MILE RD",
            "address_2": "BUILLDING C",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "248-542-5374",
            "fax_number": "248-398-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 EAST TWELVE MILE RD",
            "address_2": "BUILLDING C",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "248-542-5374",
            "fax_number": "248-398-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS I KING DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-542-7354",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "TK001638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133361070",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.