Active NPI
David W Puett, M.D.
- Rheumatology Physician
- Wilmington, NC
National Provider Identifier
1821096264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 36806
- Practice address
- 1710 S. 17TH St.
Wilmington, NC 28401-6442 - Phone
- (910) 762-1182
- Fax
- (910) 202-2022
- NPI assigned
- Jul 11, 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 36806 | NC | Primary |
Addresses
Primary practice location
1710 S. 17TH St.
Wilmington, NC 28401-6442
Mailing address
1710 S. 17TH St.
Wilmington, NC 28401-6442
Phone (910) 762-1182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8969397 | Medicaid | NC |
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 |
|---|---|---|---|
| 36806 | NC | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaney Radiologists Group PLLC | Past | Accepting new patients | |
| Health Sciences Foundation Inc. | Past | Accepting new patients |
Interoperability endpoints
- david.puett.p1@direct.caa.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Wilmington, NC
- NPI 1912982166
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1942288600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1821096264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 S. 17TH ST.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016442",
"telephone_number": "910-762-1182",
"fax_number": "910-332-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 S. 17TH ST.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016442",
"telephone_number": "910-762-1182",
"fax_number": "910-202-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUETT",
"first_name": "DAVID",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NC",
"license": "36806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8969397",
"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 Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.