NPIMap

Organization Active NPI

Kimberly a King DDS PA

  • Dentist
  • Angleton, TX
National Provider Identifier
1740674233
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21339 Issued in TX
Legal business name
KIMBERLY A KING DDS PA
Practice address
109 E Lorraine St
Angleton, TX 77515
Phone
(979) 849-1213
Fax
(979) 848-8370
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Kimberly KingNPI 1992840607
Title
Owner
Phone
(979) 849-1213

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21339 TX Primary

Addresses

Primary practice location

109 E Lorraine St
Angleton, TX 77515

Mailing address

109 E Lorraine St
Angleton, TX 77515
Phone (979) 849-1213

Other identifiers 1

IdentifierTypeStateIssuer
160437301MedicaidTX

National Provider Directory

National Provider Directory

Locations

109 E Lorrain St
Angleton, TX 77515
Phone (979) 849-1213

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": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1740674233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E LORRAINE ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "77515",
            "telephone_number": "979-849-1213",
            "fax_number": "979-848-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E LORRAINE ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "77515",
            "telephone_number": "979-849-1213",
            "fax_number": "979-848-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY A KING DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-849-1213"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160437301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.