NPIMap

Organization Active NPI

King Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Weston, FL
National Provider Identifier
1790455459
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KING PEDIATRIC DENTISTRY, PLLC
Practice address
1695 N Park Dr Ste 102
Weston, FL 33326-3294
Phone
(954) 451-0265
NPI assigned
Sep 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Alicia KingNPI 1134503428
Title
Owner/DMD
Phone
(954) 451-0265

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1695 N Park Dr Ste 102
Weston, FL 33326-3294

Mailing address

1695 N Park Dr Ste 102
Weston, FL 33326-3294
Phone (954) 451-0265

National Provider Directory

National Provider Directory

Locations

1695 N Park Dr
Ste 102
Weston, FL 33326
Phone (954) 451-0265

Practitioners & affiliated clinicians

Practitioners 2

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": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1790455459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 N PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263294",
            "telephone_number": "954-451-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 N PARK DR STE 102",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263294",
            "telephone_number": "954-451-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER/DMD",
        "authorized_official_telephone_number": "954-451-0265",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.