Active NPI
James Michael Puckett, DDS
- General Practice Dentistry
- Jamestown, NC
National Provider Identifier
1487870473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6257
- Practice address
- 800 W Main St Ste B
Jamestown, NC 27282-8830 - Phone
- (336) 454-3116
- Fax
- (336) 454-1560
- NPI assigned
- Apr 18, 2007
- 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 Dentistry | 1223G0001X | 6257 | NC | Primary |
Addresses
Primary practice location
800 W Main St Ste B
Jamestown, NC 27282-8830
Mailing address
800 W Main St Ste B
Jamestown, NC 27282-8830
Phone (336) 454-3116
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487870473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W MAIN ST STE B",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828830",
"telephone_number": "336-454-3116",
"fax_number": "336-454-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MAIN ST STE B",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828830",
"telephone_number": "336-454-3116",
"fax_number": "336-454-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUCKETT",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NC
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- Prosper Healthcare and Consulting PLLC
- R. Byrd Community Care Services
- Regional Physicians LLC
- Rha Health Services NC LLC
- Cassandra T Richardson, RPH
- Kristina Michelle Roberson, DNP, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.