Individual provider Active NPI

E Scott King, DDS

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1962519017
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28588 Issued in CA
Practice address
1215 W Huntington Dr
Suite 1 and 1
Arcadia, CA 91007-6374
Phone
(626) 796-5593
Fax
(626) 796-3483
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28588 CA Primary

Addresses

Primary practice location

1215 W Huntington Dr
Suite 1 and 1
Arcadia, CA 91007-6374

Mailing address

1215 W Huntington Dr
Suite 1 and 1
Arcadia, CA 91007-6374
Phone (626) 796-5593

Other identifiers 2

IdentifierTypeStateIssuer
4923OtherCAPACIFIC UNION
P6870OtherCAPACIFIC CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962519017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W HUNTINGTON DR",
            "address_2": "SUITE 1 AND 1",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076374",
            "telephone_number": "626-796-5593",
            "fax_number": "626-796-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W HUNTINGTON DR",
            "address_2": "SUITE 1 AND 1",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076374",
            "telephone_number": "626-796-5593",
            "fax_number": "626-796-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "E",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC UNION",
            "identifier": "4923",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE",
            "identifier": "P6870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.