DR. GRANT THOMAS KING D.D.S., M.D.S. - NPI 1619327244

Q: What is Grant King's NPI number?

The NPI number for Grant King is 1619327244. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Q: What is Grant King's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Grant King enrolled in Medicare?

No. Grant King has opted out of Medicare through September 17, 2026. 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.

Q: When was this NPI record last updated?

The NPPES record for Grant King was last updated on July 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Grant Thomas King D.d.s., M.d.s. NPPES

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

DR. GRANT THOMAS KING D.D.S., M.D.S. (NPI 1619327244) is an individual periodontics provider in Memphis, Tennessee, licensed in Tennessee (DS0000010322) and active in the NPI registry since June 2016. He has opted out of Medicare through September 17, 2026 and remains eligible to order and refer and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1619327244

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. GRANT THOMAS KINGCredential: D.D.S., M.D.S.

Location Address6268 POPLAR AVEMemphis, TN 38119-4713

Mailing Address6268 Poplar AveMemphis, TN 38119-4713 · (901) 761-3770

Phone(901) 761-3770

Sole ProprietorNo

Enumeration DateJune 14, 2016

Last NPPES UpdateJuly 9, 20193 updates tracked since enumeration

✔ NPI 1619327244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in TN · DS0000010322

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6268 POPLAR AVE, Memphis, TN 38119

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Secondary Practice Location 1

Location 1University Of Tennessee Health Science Ctr, 920 Madison Ave, Suite 447Memphis, TN 38163-0001 · Phone (901) 448-6920

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Grant Thomas King D.d.s., M.d.s. 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 September 17, 2020 through September 17, 2026.

Opt-Out Effective DateSeptember 17, 2020

Opt-Out In Effect ThroughSeptember 17, 2026Opt-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 38119 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 5

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

PERIODONTAL ASSOCIATES OF MEMPHIS

Dentist (Periodontics)