Individual provider Active NPI

Paul William King, DDS

  • Dentist
  • Atlanta, GA
National Provider Identifier
1881761849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN007445 Issued in GA
Practice address
1000 Circle 75 Pkwy
Suite 20
Atlanta, GA 30339-6079
Phone
(770) 952-1777
Fax
(770) 952-1779
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN007445 GA Primary

Addresses

Primary practice location

1000 Circle 75 Pkwy
Suite 20
Atlanta, GA 30339-6079

Mailing address

1000 Circle 75 Pkwy
Suite 20
Atlanta, GA 30339-6079
Phone (770) 952-1777

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

LicenseStateTypeSpecialty
DN007445GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hodges King & Reudel Huber DDS PA Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881761849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CIRCLE 75 PKWY",
            "address_2": "SUITE 20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396079",
            "telephone_number": "770-952-1777",
            "fax_number": "770-952-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CIRCLE 75 PKWY",
            "address_2": "SUITE 20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396079",
            "telephone_number": "770-952-1777",
            "fax_number": "770-952-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PAUL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN007445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.