Individual provider Active NPI

Kenneth T. King, DMD, PA

  • Endodontics
  • North Charleston, SC
National Provider Identifier
1770540791
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2663 Issued in SC
Practice address
2170 Ashley Phosphate Rd
Suite 600
North Charleston, SC 29406-4190
Phone
(843) 569-1717
Fax
(843) 563-6139
NPI assigned
Apr 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2663 SC Primary

Addresses

Primary practice location

2170 Ashley Phosphate Rd
Suite 600
North Charleston, SC 29406-4190

Mailing address

2170 Ashley Phosphate Rd
Suite 600
North Charleston, SC 29406-4190
Phone (843) 569-1717

Other identifiers 1

IdentifierTypeStateIssuer
Z26632MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 9, 2021 through Sep 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2663SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Endodontics LLC Endodontics PastSince Dec 6, 2020 Accepting new patients
King & Wiggins, D.M.D., P.a. Endodontics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1770540791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE 600",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064190",
            "telephone_number": "843-569-1717",
            "fax_number": "843-563-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 ASHLEY PHOSPHATE RD",
            "address_2": "SUITE 600",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064190",
            "telephone_number": "843-569-1717",
            "fax_number": "843-563-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KENNETH",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "2663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z26632",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.