Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. EDWIN D KING DDS
NPI 1023060365
Dentist - Oral and Maxillofacial Surgery in Waterloo, IA

Active since May 16, 2006Opted out of Medicare · through Aug 8, 2027
845 W 4TH STREET, WATERLOO, IA 50702(319) 235-9385(319) 236-7991 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Edwin D King Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN D KING DDS (NPI 1023060365) is an individual oral and maxillofacial surgery provider in Waterloo, Iowa, licensed in Iowa (6647) and active in the NPI registry since May 2006. He has opted out of Medicare through August 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023060365
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. EDWIN D KINGCredential: DDS
Location Address845 W 4TH STREETWaterloo, IA 50702
Mailing Address845 W 4th StreetWaterloo, IA 50702 · (319) 235-9385 · Fax (319) 236-7991
Fax(319) 236-7991
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1023060365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IA · 6647
Definition
An oral and maxillofacial surgery dentist specialized in 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.
845 W 4TH STREET, Waterloo, IA 50702

Other Identifiers 2

Other183608IA · Dental Insurances
Other18360IA · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Edwin D King Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 8, 2005 through August 8, 2027.

Opt-Out Effective DateAugust 8, 2005
Opt-Out In Effect ThroughAugust 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
845 W 4TH STREET
WATERLOO, IA 50702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin King's NPI number?

The NPI number for Edwin King is 1023060365. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Edwin King located?

Edwin King practices at 845 W 4th Street, Waterloo, IA 50702. The listed phone number is (319) 235-9385.

What is Edwin King's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Edwin King enrolled in Medicare?

No. Edwin King has opted out of Medicare through August 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edwin King was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.