DR. DEREK TIMOTHY KING (NPI# 1154611176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154611176 |
| Entity Type | Individual |
| Full Name | DR. DEREK TIMOTHY KING |
| Credential | D.M.D. |
| Practice Address |
3695 W Boynton Beach Blvd Suite 1 Boynton Beach FL 33436-4516 |
| Practice Telephone | 5613641800 |
| Mailing Telephone | 5613641800 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2016-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
FK3907853 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255661609 | Derek Brian King | Chiropractor | 6 Doctors Ln, 2n, Macomb, IL 61455-3370 | 2010-01-07 |
| 1598214876 | Derek King | Social Worker | 5050 Williams Ave, Woodward, OK 73801-7713 | 2016-09-27 |
| 1295129401 | Derek King | Anesthesiology | 111 E 210th St, Bronx, NY 10467-2401 | 2015-03-25 |
| 1740375286 | Derek Edward King | Chiropractor | 5523 Mission Rd, Ste C, Bonsall, CA 92003 | 2006-10-03 |
| Street Address |
3695 W BOYNTON BEACH BLVD SUITE 1 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699757740 | Brad S Mattison | Podiatrist | 3695 W Boynton Beach Blvd, Boynton Beach, FL 33436-4516 | 2005-11-15 |
| 1619384955 | Envision Dental Group | Dentist | 3695 W Boynton Beach Blvd, Suite #5, Boynton Beach, FL 33436-4516 | 2014-07-18 |
| 1962782086 | Jeremy Farbman | Dentist | 3695 W Boynton Beach Blvd, Suite 7, Boynton Beach, FL 33436-4516 | 2011-08-20 |
| 1184845224 | Stanley Robert Davidoff | Dentist | 3695 W Boynton Beach Blvd, Suite 5, Boynton Beach, FL 33436-4516 | 2007-05-02 |
| 1518082098 | Oakwood Lakes Podiatry Group Pa | Podiatrist | 3695 W Boynton Beach Blvd, Boynton Beach, FL 33436-4516 | 2007-03-21 |
| 1881702223 | David Mark Feinerman | Dentist | 3695 W Boynton Beach Blvd, Suite 5, Boynton Beach, FL 33436-4516 | 2006-08-27 |
| 1639283831 | Andrew Goldring | Dentist | 3695 W Boynton Beach Blvd, Suite 7, Boynton Beach, FL 33436-4516 | 2006-08-18 |
| 1013021211 | Gary Kaufman | Dentist | 3695 W Boynton Beach Blvd, Suite 7, Boynton Beach, FL 33436-4516 | 2006-08-18 |
| 1700990991 | Gary S Kaufman Dds & Andrew C Goldring Dds, Pa | Dentist | 3695 W Boynton Beach Blvd, Suite 7, Boynton Beach, FL 33436-4516 | 2006-08-18 |
| 1043292733 | Susan B Mattison | Podiatrist | 3695 W Boynton Beach Blvd, Suite 4, Boynton Beach, FL 33436-4516 | 2005-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952558439 | Nishul Patel | Dentist | 9526 Lago Dr, Boynton Beach, FL 33472-2754 | 2008-08-26 |
| 1598961666 | Boynton Oral & Maxillofacial Surgery and Implant Center P A | Dentist | 3695 W Boynton Beach Blvd Ste 1, Boynton Beach, FL 33436-4516 | 2007-06-25 |
| 1255980447 | Boynton Oral Surgery and Implant Center Pllc | Dentist | 3695 W Boynton Beach Blvd Ste 1, Boynton Beach, FL 33436-4516 | 2019-09-10 |
| 1881702223 | David Mark Feinerman | Dentist | 3695 W Boynton Beach Blvd, Suite 5, Boynton Beach, FL 33436-4516 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.