NPIMap

Organization Active NPI

Ty King DDS

  • General Practice Dentistry
  • Rogers, AR
National Provider Identifier
1720602196
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TY KING DDS
Practice address
1109 W Chestnut St
Rogers, AR 72756-3529
Phone
(479) 633-8846
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Ty KingNPI 1063555415
Title
Dentist
Phone
(479) 633-8846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1109 W Chestnut St
Rogers, AR 72756-3529

Mailing address

1109 W Chestnut St
Rogers, AR 72756-3529

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@tykingdds.com

National Provider Directory

National Provider Directory

Locations

1109 W Chestnut St
Rogers, AR 72756
Phone (479) 633-8846

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1720602196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W CHESTNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CHESTNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563529",
            "telephone_number": "479-633-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY KING DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-633-8846"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@tykingdds.com",
            "affiliation": "N",
            "endpointDescription": "Personal Email Address",
            "address_1": "1109 W Chestnut St",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727563529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.