Individual provider Active NPI

David Kalman Gittelman, D.O.

  • Psychiatry Physician
  • Lillington, NC
National Provider Identifier
1346256237
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33454 Issued in NC
Practice address
4350 US 421 South
170
Lillington, NC 27546-4280
Phone
(910) 893-1741
Fax
(910) 893-1777
NPI assigned
Jul 31, 2006
Last updated
Aug 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33454 NC Primary

Addresses

Primary practice location

4350 US 421 South
170
Lillington, NC 27546-4280

Mailing address

PO Box 4280
170
Buies Creek, NC 27506-4280
Phone (910) 893-1741

Other identifiers 2

IdentifierTypeStateIssuer
E03556MedicaidNC
8935686MedicaidNC

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
33454NCMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1346256237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4280",
            "address_2": "170",
            "city": "BUIES CREEK",
            "state": "NC",
            "postal_code": "275064280",
            "telephone_number": "910-893-1741",
            "fax_number": "910-893-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 US 421 SOUTH",
            "address_2": "170",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275464280",
            "telephone_number": "910-893-1741",
            "fax_number": "910-893-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTELMAN",
        "first_name": "DAVID",
        "middle_name": "KALMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "33454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E03556",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8935686",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.