Active NPI
William Waymon King III, D.M.D.
- General Practice Dentistry
- McMinnville, TN
National Provider Identifier
1861675738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS0000007692
- Practice address
- 2170 Big Spring Rd
McMinnville, TN 37110-3896 - Phone
- (931) 692-4181
- NPI assigned
- Dec 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2039 | SC | |
| General Practice Dentistry | 1223G0001X | DS0000007692 | TN | Primary |
| General Practice Dentistry | 1223G0001X | DN010090 | GA |
Addresses
Primary practice location
2170 Big Spring Rd
McMinnville, TN 37110-3896
Mailing address
PO Box 2168
Brentwood, TN 37024-2168
Phone (404) 915-9183
Other names 1
- Dr. Wayne King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2039 | SC | MD | Counselor |
| DN010090 | GA | MD | General Practice Dentistry |
| DS0000007692 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1861675738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2168",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370242168",
"telephone_number": "404-915-9183",
"fax_number": "615-730-6496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 BIG SPRING RD",
"city": "MCMINNVILLE",
"state": "TN",
"postal_code": "371103896",
"telephone_number": "931-692-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "WILLIAM",
"middle_name": "WAYMON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-13",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "2039",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS0000007692",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN010090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WAYNE",
"last_name": "KING",
"prefix": "DR.",
"credential": "D.M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in McMinnville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.