Organization Active NPI

King de Melo Southcoast Foot Care

  • Podiatric Clinic/Center
  • Fall River, MA
National Provider Identifier
1780074120
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
KING DE MELO SOUTHCOAST FOOT CARE
Practice address
222 Milliken Blvd
Fall River, MA 02721-1623
Phone
(508) 679-5700
Fax
(508) 679-7759
NPI assigned
Jan 23, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Dr. Michael King, DPM
Title
President
Phone
(508) 679-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X MA Primary

Addresses

Primary practice location

222 Milliken Blvd
Fall River, MA 02721-1623

Mailing address

222 Milliken Blvd
Fall River, MA 02721-1623
Phone (508) 679-5700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1780074120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MILLIKEN BLVD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211623",
            "telephone_number": "508-679-5700",
            "fax_number": "508-679-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 MILLIKEN BLVD",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211623",
            "telephone_number": "508-679-5700",
            "fax_number": "508-679-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DE MELO SOUTHCOAST FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-679-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.