Organization Active NPI

Dr Matthew King DDS Inc

Doing business as Winchester Dental Group

  • General Practice Dentistry
  • Temecula, CA
National Provider Identifier
1760257844
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR MATTHEW KING DDS INC
Doing business as
Winchester Dental Group
Practice address
27521 Jefferson Ave
Temecula, CA 92590-2600
Phone
(951) 676-3676
NPI assigned
Nov 20, 2023
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Dr. Matthew Michael King, DDSNPI 1073183596
Title
President
Phone
(360) 567-5978

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

27521 Jefferson Ave
Temecula, CA 92590-2600

Mailing address

29432 Wyatt Earp Way
Winchester, CA 92596-7608
Phone (360) 567-5978

Other names 1

  • Winchester Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

27521 Jefferson Ave
Temecula, CA 92590
Phone (951) 676-3676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1760257844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29432 WYATT EARP WAY",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925967608",
            "telephone_number": "360-567-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27521 JEFFERSON AVE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902600",
            "telephone_number": "951-676-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MATTHEW KING DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-567-5978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchester Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winchester Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.