Organization Active NPI

Carlos J. King, DDS Inc.

  • Dental Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1740672211
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
41440 Issued in CA
Legal business name
CARLOS J. KING, DDS INC.
Practice address
1734 W 1St St
Suite H
Santa Ana, CA 92703-3660
Phone
(714) 542-9785
Fax
(714) 542-1140
NPI assigned
Feb 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Authorized official

Name
Mr. Carlos J. KingNPI 1356441927
Title
Dentist
Phone
(714) 542-9785

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
Dental Clinic/Center 261QD0000X 41440 CA Primary

Addresses

Primary practice location

1734 W 1St St
Suite H
Santa Ana, CA 92703-3660

Mailing address

1734 W 1St St
Suite H
Santa Ana, CA 92703-3660
Phone (714) 542-9785

Other identifiers 1

IdentifierTypeStateIssuer
B4144001OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

1734 W 1st St
Ste H
Santa Ana, CA 92703
Phone (619) 778-7352

Practitioners & affiliated clinicians

Practitioners 1

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": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1740672211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 W 1ST ST",
            "address_2": "SUITE H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033660",
            "telephone_number": "714-542-9785",
            "fax_number": "714-542-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 W 1ST ST",
            "address_2": "SUITE H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033660",
            "telephone_number": "714-542-9785",
            "fax_number": "714-542-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS J. KING, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-542-9785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "41440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B4144001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.