David Neilson King, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2006014152 Issued in MO

Practice address

950 Unser Blvd SE
Suite 100
Rio Rancho, NM 87124

Phone

(505) 892-2900

Fax

(505) 892-2913

NPI assigned

Dec 14, 2006

Last updated

Aug 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alex Sharifian DDS Lindenwood Dentistry, PC

  dba Lindenwood Dentistry

  • General Practice Dentistry
  • Saint Charles, MO
  • NPI 1518412527
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1922160209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MULE CREEK DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633857410",
            "telephone_number": "816-286-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 UNSER BLVD SE",
            "address_2": "SUITE 100",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-892-2900",
            "fax_number": "505-892-2913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Unser Blvd SE",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871246376",
            "country_code": "US",
            "telephone_number": "505-892-2900",
            "fax_number": "505-892-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2048 1st Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633011647",
            "country_code": "US",
            "telephone_number": "636-345-9245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "DAVID",
        "middle_name": "NEILSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4065",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2006014152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yountae Kim
• Aaron Kimbrough
• Allison Kime
• Paula Kimlicka
• Paul Leonard King-Miller, PSYD, LPCC
• Rebekah Ann King, PT
• Kingdom Come Alliance
• Megan Kinler, AGACNP
• Dawn Elaine Rose Kirby, LMT
• Hope Kirmer, LCSW

• General Practice Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.