NPIMap

Organization Active NPI

King Orthodontics, LTD

  • Dental Clinic/Center
  • Owatonna, MN
National Provider Identifier
1841432952
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11171 Issued in MN
Legal business name
KING ORTHODONTICS, LTD
Practice address
125 28TH St NE
Suite 1
Owatonna, MN 55060-2480
Phone
(507) 446-9000
Fax
(507) 446-9005
NPI assigned
Apr 3, 2009
Last updated
May 27, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
KING ORTHODONTICS, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Dr. Darrin Lee King, DDSNPI 1528056835
Title
Orthodontist
Phone
(507) 446-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11171 MN Primary

Addresses

Primary practice location

125 28TH St NE
Suite 1
Owatonna, MN 55060-2480

Mailing address

1575 20TH St NW
Suite 202
Faribault, MN 55021-2930
Phone (507) 332-0022

Other identifiers 1

IdentifierTypeStateIssuer
719448000MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
King Orthodontics LTD3 organizations share this tax ID, including this one
Part of
King Orthodontics LTD

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 28th St NE
Ste 1
Owatonna, MN 55060
Phone (507) 242-1441

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1841432952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW",
            "address_2": "SUITE 202",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212930",
            "telephone_number": "507-332-0022",
            "fax_number": "507-333-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 28TH ST NE",
            "address_2": "SUITE 1",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602480",
            "telephone_number": "507-446-9000",
            "fax_number": "507-446-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING ORTHODONTICS, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KING ORTHODONTICS, LTD",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "507-446-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "11171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719448000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.