John Kingman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD17111 Issued in OR

Practice address

18610 NW Cornell Rd
Suite 300
Hillsboro, OR 97124-9204

Phone

(503) 216-9300

Fax

(503) 216-9363

NPI assigned

Jun 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1881633980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494",
            "fax_number": "503-215-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 NW CORNELL RD",
            "address_2": "SUITE 300",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249204",
            "telephone_number": "503-216-9300",
            "fax_number": "503-216-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGMAN",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD17111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00351748",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169784",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimani Psychiatry
• Shannon Katherine Kimball, PHARMD
• Janet Kindschuh, DPT
• David Jay King, D.C.
• Mary King
• Laura Kingston, OTR/L
• Kristin Kinnie, MSN, MSW
• Milka Kinzel Engelke
• Alyson Kinzler
• Chelsie Smith Kirby

• Family Medicine Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.