Active NPI
Samuel Martin Kneece, M.D.
- Psychiatry Physician
- Wilmington, NC
National Provider Identifier
1609934819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33696
- Practice address
- 1414 Physicians Dr
Wilmington, NC 28401-7335 - Phone
- (910) 796-7900
- Fax
- (910) 796-7901
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33696 | NC | Primary |
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | 2084H0002X | 33696 | NC | |
| Radiation Oncology Physician | 2085R0001X | 33696 | NC |
Addresses
Primary practice location
1414 Physicians Dr
Wilmington, NC 28401-7335
Mailing address
1414 Physicians Dr
Wilmington, NC 28401-7335
Phone (910) 796-7900
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 |
|---|---|---|---|
| 33696 | NC | MD | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1609934819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 PHYSICIANS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017335",
"telephone_number": "910-796-7900",
"fax_number": "910-796-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 PHYSICIANS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017335",
"telephone_number": "910-796-7900",
"fax_number": "910-796-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEECE",
"first_name": "SAMUEL",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "33696",
"primary": true
},
{
"code": "2084H0002X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
"state": "NC",
"license": "33696",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "33696",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.