Active NPI
Daniel Kent Plunkett, M.D.
- Nephrology Physician
- Greenwood, MS
National Provider Identifier
1861569915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 13905
- Practice address
- 609 Tallahatchie St
Greenwood, MS 38930-2005 - Phone
- (662) 453-5208
- Fax
- (662) 453-4546
- NPI assigned
- Nov 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 13905 | MS | Primary |
Addresses
Primary practice location
609 Tallahatchie St
Greenwood, MS 38930-2005
Mailing address
609 Tallahatchie St
Greenwood, MS 38930-2005
Phone (662) 453-5208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119361 | Medicaid | MS |
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
Interoperability endpoints
- bolv_-_dr._daniel_plunkett_physician@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861569915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 TALLAHATCHIE ST",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302005",
"telephone_number": "662-453-5208",
"fax_number": "662-453-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 TALLAHATCHIE ST",
"city": "GREENWOOD",
"state": "MS",
"postal_code": "389302005",
"telephone_number": "662-453-5208",
"fax_number": "662-453-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUNKETT",
"first_name": "DANIEL",
"middle_name": "KENT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MS",
"license": "13905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119361",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.