Individual provider Active NPI

Lori Massey King, MD

  • Family Medicine Physician
  • Southlake, TX
National Provider Identifier
1891796074
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J4267 Issued in TX
Practice address
200 Pecan CRK
Southlake, TX 76092-6372
Phone
(817) 481-4739
Fax
(817) 481-5198
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J4267 TX Primary

Addresses

Primary practice location

200 Pecan CRK
Southlake, TX 76092-6372

Mailing address

200 Pecan CRK
Southlake, TX 76092-6372
Phone (817) 481-4739

Other identifiers 1

IdentifierTypeStateIssuer
88761SOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000173 TX Practitioner - Family Practice 8527049600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timarron Family Medicine PAGroup PAC ID 5496736563, 2 clinicians

Practice addresses (Care Compare)

200 Pecan Creek
Southlake, TX 76092-6371

200 Pecan CRK
Southlake, TX 76092-6371
Phone (817) 481-4739

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Timarron Family Medicine PA Family Medicine CurrentSince Nov 1, 1998 Accepting new patients

Locations

200 Pecan Crk
Southlake, TX 76092
Phone (817) 468-7200

Interoperability endpoints

  • Direct secure messaging: lkorders@tfmp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1891796074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PECAN CRK",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926372",
            "telephone_number": "817-481-4739",
            "fax_number": "817-481-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PECAN CRK",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926372",
            "telephone_number": "817-481-4739",
            "fax_number": "817-481-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LORI",
        "middle_name": "MASSEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "88761S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.