Active NPI
Charles J. Purma II, D.D.S.
- General Practice Dentistry
- Scott City, KS
National Provider Identifier
1730300666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4554
- Practice address
- 324 N Main St
Scott City, KS 67871-1180 - Phone
- (620) 872-2389
- Fax
- (620) 872-2011
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 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 | 4554 | KS | Primary |
Addresses
Primary practice location
324 N Main St
Scott City, KS 67871-1180
Mailing address
1211 Hillside Dr
Scott City, KS 67871-1354
Phone (620) 872-2389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8694 | Other | KS | BLUE CROSS BLUE SHIELD KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4554 | KS | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730300666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 HILLSIDE DR",
"city": "SCOTT CITY",
"state": "KS",
"postal_code": "678711354",
"telephone_number": "620-872-2389",
"fax_number": "620-872-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 N MAIN ST",
"city": "SCOTT CITY",
"state": "KS",
"postal_code": "678711180",
"telephone_number": "620-872-2389",
"fax_number": "620-872-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURMA",
"first_name": "CHARLES",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "4554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD KS",
"identifier": "8694",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scott City, KS
- Ragen Lee Numrich, PHARMD
- Open Roads Counseling LLC
- Shannon L Plummer, MSN-FNP
- Proadjuster Chiropractic of Southwest Kansas, L.L.C. (Scott City Chiropractic Clinic)
- Prohealth Chiropractic Wellness Centers, PA
- Viridiana Madrid Riddle, DNP, APRN, FNP-BC
- Mackenzie Kate Ritter, RN
- Kelly Sue Robbins, LMFT
- Caley Roberts, PA
- Jena Robertson Brunswig
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.