Carissa King, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12213 Issued in OR

Practice address

2750 Kingwood St
Florence, OR 97439-9556

Phone

(541) 997-3535

NPI assigned

Jul 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carissa Oliver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Florence Dental Clinic

  • General Practice Dentistry
  • Florence, OR
  • NPI 1053678516
  NPD

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1932090362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 KINGWOOD ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399556",
            "telephone_number": "541-997-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 KINGWOOD ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399556",
            "telephone_number": "541-997-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CARISSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D12213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "OLIVER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Jean Jones, FNP-BC
• Tze Yu Juang, PHARM D
• Denise Marie Kennedy Womack
• Stephen Samuel Kerner, D.O.
• Karly Laura Kerod, PT, DPT
• Julie Ann Cecelia Kittock, OD
• Kyna Lynn Knights
• Charles Wayne Korando, DDS, PC
• Ryan Charles Korando, L.D.
• Lake View Counseling, LLC

• General Practice Dentistry in Florence, OR
• Providers in Florence, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.