Active NPI
David Martin Guyette, M.D.
- Specialist
- Malden, MA
National Provider Identifier
1437121720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 42990
- Practice address
- 600 Main St
Malden, MA 02148-3919 - Phone
- (781) 321-6463
- NPI assigned
- Feb 2, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 42990 | MA | Primary |
Addresses
Primary practice location
600 Main St
Malden, MA 02148-3919
Mailing address
600 Main St
Malden, MA 02148-3919
Phone (781) 321-6463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066084 | Medicaid | MA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42990 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1437121720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MAIN ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483919",
"telephone_number": "781-321-6463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MAIN ST",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483919",
"telephone_number": "781-321-6463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUYETTE",
"first_name": "DAVID",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "42990",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2066084",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.