Organization Active NPI

Dewitt H. King, D.D.S., P.C.

  • Dentist
  • Memphis, TN
National Provider Identifier
1942473574
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3374 Issued in TN
Legal business name
DEWITT H. KING, D.D.S., P.C.
Practice address
2212 Airways Blvd
Memphis, TN 38114-5361
Phone
(901) 743-2055
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Dr. Dewitt H. King, D.D.S.NPI 1811185879
Title
Dentist
Phone
(901) 743-2055

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3374 TN Primary

Addresses

Primary practice location

2212 Airways Blvd
Memphis, TN 38114-5361

Mailing address

2212 Airways Blvd
Memphis, TN 38114-5361
Phone (901) 743-2055

Other identifiers 1

IdentifierTypeStateIssuer
003182MedicaidTN

National Provider Directory

National Provider Directory

Locations

2212 Airways Blvd
Memphis, TN 38114
Phone (901) 743-2055

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1942473574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 AIRWAYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145361",
            "telephone_number": "901-743-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 AIRWAYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145361",
            "telephone_number": "901-743-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT H. KING, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DEWITT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-743-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003182",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.