Bryant Ray King, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16374 Issued in FL

Practice address

6900 Daniels Pkwy Ste 30
Fort Myers, FL 33912-1587

Phone

(239) 337-5464

Fax

(239) 561-2742

NPI assigned

Oct 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Shelly King, DMD, PA

  • General Practice Dentistry
  • Fort Myers, FL
  • NPI 1275662793
  NPD (past)

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1851543532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 DANIELS PKWY STE 30",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121587",
            "telephone_number": "239-337-5464",
            "fax_number": "239-561-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 DANIELS PKWY STE 30",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121587",
            "telephone_number": "239-337-5464",
            "fax_number": "239-561-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BRYANT",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kimpel, M.D.
• Richard Kinder, MD
• Kinetics Medical Center LLC
• Deshy Kinfu, PT
• Alena R King
• Caroline Hannon King, MS, CCC-SLP
• Jayme Rene King, PHARMD
• Margaret G King, R.PH.
• Shelly D King, DMD
• Kingswood Health

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.