Kimberly A King, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21339 Issued in TX

Practice address

109 E Lorrain St
Angleton, TX 77515-3245

Phone

(979) 849-1213

Fax

(979) 848-8370

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kimberly a King DDS PA

  • Dentist
  • Angleton, TX
  • NPI 1740674233
  NPD (past) Authorized official
• Smile123Pllc

  • General Practice Dentistry
  • Angleton, TX
  • NPI 1457816431
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1992840607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N VELASCO ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153010",
            "telephone_number": "979-849-5771",
            "fax_number": "979-849-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E LORRAIN ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153245",
            "telephone_number": "979-849-1213",
            "fax_number": "979-848-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Anders Johnson, M.D.
• Umu Kabba
• Pallavi Kakulavar, M.D.
• Laurie G Kilbourn, M.D.
• Kimberly a King DDS PA
• Lauren Deann King, NP-C
• Melissa King
• Cristine Klussmann, RD
• Kacie Elaine Koenig
• Patricia Ann Korenek, WHCNP

• General Practice Dentistry in Angleton, TX
• Providers in Angleton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.