Active NPI
Joseph F Huppmann, MD
- Dermatology Physician
- Wilmington, NC
National Provider Identifier
1649274614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9501558
- Practice address
- 1717 Shipyard Blvd
Suite 100
Wilmington, NC 28403 - Phone
- (910) 794-5355
- Fax
- (910) 794-5358
- NPI assigned
- Jun 8, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9501558 | NC | Primary |
Addresses
Primary practice location
1717 Shipyard Blvd
Suite 100
Wilmington, NC 28403
Mailing address
1717 Shipyard Blvd
Suite 100
Wilmington, NC 28403
Phone (910) 794-5355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13343 | Other | NC | BLUE CROSS |
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 |
|---|---|---|---|
| 9501558 | NC | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265241600000",
"number": "1649274614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 SHIPYARD BLVD",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-794-5355",
"fax_number": "910-794-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SHIPYARD BLVD",
"address_2": "SUITE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-794-5355",
"fax_number": "910-794-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUPPMANN",
"first_name": "JOSEPH",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2010-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "9501558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "13343",
"state": "NC"
}
],
"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 Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.