Active NPI
Christian Adeola King, D.D.S
- General Practice Dentistry
- Washington, DC
National Provider Identifier
1902008543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN3773
- Practice address
- Howard University Hospital
2041 Georgia Ave NW
Washington, DC 20060-0001 - Phone
- (202) 865-1491
- Fax
- (202) 865-4849
- NPI assigned
- Jun 5, 2007
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN3773 | DC | Primary |
Addresses
Primary practice location
Howard University Hospital
2041 Georgia Ave NW
Washington, DC 20060-0001
Mailing address
10907 Adler CT
Upper Marlboro, MD 20774-5735
Phone (301) 333-4741
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEN3773 | Other | DC | DENTAL LICENSE |
| 7372 | Other | MD | DENTAL LICENSE |
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 |
|---|---|---|---|
| DEN3773 | DC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902008543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10907 ADLER CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207745735",
"telephone_number": "301-333-4741",
"fax_number": "301-333-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOWARD UNIVERSITY HOSPITAL",
"address_2": "2041 GEORGIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200600001",
"telephone_number": "202-865-1491",
"fax_number": "202-865-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHRISTIAN",
"middle_name": "ADEOLA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DC",
"license": "DEN3773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "DEN3773",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "7372",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
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.