Korwin King, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 021893-L Issued in PA

Practice address

116 E Grandview Ave
Zelienople, PA 16063-1131

Phone

(724) 452-6020

Fax

(724) 452-8317

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Grandview Dental, P.C.

  • General Practice Dentistry
  • Zelienople, PA
  • NPI 1023141181
  NPD (past) Authorized official

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932191418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E GRANDVIEW AVE",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631131",
            "telephone_number": "724-452-6020",
            "fax_number": "724-452-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E GRANDVIEW AVE",
            "city": "ZELIENOPLE",
            "state": "PA",
            "postal_code": "160631131",
            "telephone_number": "724-452-6020",
            "fax_number": "724-452-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KORWIN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 021893-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "44296",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadine Marie Jones
• Nicole M Jordan, LPC
• Jennifer Kemery Popojas, PT
• Jessica Jo Kenbok
• Sarah Kildoo, MSW
• Ellen Knight, LSW
• Alison Koop, D.D.S.
• Callie Kossan
• Melanie Alexander Kovach, MSW
• Lydia Jessika Lanigan

• General Practice Dentistry in Zelienople, PA
• Providers in Zelienople, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.
• 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.