Organization Active NPI

King Family Dentistry DDS PC

  • General Practice Dentistry
  • North Kansas City, MO
National Provider Identifier
1902634553
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KING FAMILY DENTISTRY DDS PC
Doing business as
King Family Dentistry
Practice address
2431 Burlington St
North Kansas City, MO 64116-3017
Phone
(816) 221-3255
Fax
(816) 569-3204
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Dr. Mark Edward King, DDSNPI 1699702233
Title
President
Phone
(816) 221-3255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2431 Burlington St
North Kansas City, MO 64116-3017

Mailing address

407 NW Briarcliff Pkwy
Kansas City, MO 64116-1669
Phone (816) 221-3255

Other names 1

  • King Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2431 Burlington St
North Kansas City, MO 64116
Phone (816) 221-3255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1902634553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 NW BRIARCLIFF PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641161669",
            "telephone_number": "816-221-3255",
            "fax_number": "816-569-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 BURLINGTON ST",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163017",
            "telephone_number": "816-221-3255",
            "fax_number": "816-569-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING FAMILY DENTISTRY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-221-3255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.