THOMAS J KING DDS MD NPI 1942287875

NPI Information

NPI: 1942287875
Provider Name: THOMAS J KING, DDS MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
100 BRYANT ST
DUBUQUE, IA
ZIP 52003
Phone: (563) 557-1440
Get Directions

Thomas J King, DDS MD is an oral and maxillofacial surgery dentist in Dubuque, IA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Thomas J King, DDS MD NPI is 1942287875. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 BRYANT ST
DUBUQUE, IA
ZIP 52003
Phone: (563) 557-1440
Fax: (563) 557-7001

The NPI 1942287875 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 2/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204E00000X	Oral & Maxillofacial Surgery		47958	MINNESOTA	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	5844015	WISCONSIN	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	D11448	MINNESOTA	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	019026707	ILLINOIS	No
5	204E00000X	Oral & Maxillofacial Surgery		36804	IOWA	No
6	204E00000X	Oral & Maxillofacial Surgery		49434020	WISCONSIN	No
7	1223S0112X	Dentist	Oral and Maxillofacial Surgery	08393	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	190000635	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
2	I56054	MEDICARE UPIN
3	190009751	OTHER	MINNESOTA	RAILROAD MEDICARE
4	14582	OTHER		BLUE CROSS BLUE SHIELD
5	33799700	MEDICAID	WISCONSIN
6	170198300	MEDICAID	MINNESOTA
7	I17749	MEDICARE ID-TYPE UNSPECIFIED
8	0493957	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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