Jonathan S King MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

M9264 Issued in ID

Legal business name

JONATHAN S KING MD PC

Practice address

1107 W Ironwood Dr
Coeur D Alene, ID 83814-2604

Phone

(208) 667-7459

Fax

(208) 667-2631

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan S King, M.D.

Title

Physician

Phone

(208) 667-7459

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1821101023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-667-7459",
            "fax_number": "208-667-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142604",
            "telephone_number": "208-667-7459",
            "fax_number": "208-667-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S KING MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-667-7459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "ID",
            "license": "M9264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00331085",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807235300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler W Johnson, DO
• Vallenthia Ann Johnson, LMSW
• Wayne Clair Johnson
• Wendy E Johnson, DPT
• Rosalie Nadine Johnston, LCPC
• Kristina Marie Jones-Tarr, LMSW
• Brooke Jones
• Christopher Jones, PEER SUPPORT
• Leah Jones, M.D.
• Marsha A Jones, DIETITIAN

• All providers in Coeur D Alene, ID
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.