Active NPI
David Warren Boxwell, MD
- General Practice Physician
- Norwich, CT
National Provider Identifier
1225510571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19531
- Practice address
- 67 Church St.
Suite 300
Norwich, CT 06360-0636 - Phone
- (860) 884-6855
- NPI assigned
- Sep 4, 2018
- Last updated
- Sep 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19531 | CT | Primary |
Addresses
Primary practice location
67 Church St.
Suite 300
Norwich, CT 06360-0636
Mailing address
9 Park St Apt 25
Stafford Springs, CT 06076-1380
Phone (860) 315-4931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19531 | CT | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1225510571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 PARK ST APT 25",
"city": "STAFFORD SPRINGS",
"state": "CT",
"postal_code": "060761380",
"telephone_number": "860-315-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 CHURCH ST.",
"address_2": "SUITE 300",
"city": "NORWICH",
"state": "CT",
"postal_code": "063600636",
"telephone_number": "860-884-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOXWELL",
"first_name": "DAVID",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-04",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CT",
"license": "19531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.