Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Justin David Puckett, DO

Family Medicine Physician in Kirksville, MO · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205044146

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Registry record

Entity type Individual (Type 1)

Name Dr. Justin David Puckett

Credential DO

Sex Male

Practice address 2004 N Baltimore St Ste A, Kirksville, MO, 63501

Phone (660) 665-7575

Fax (660) 665-7576

Enumeration date May 21, 2007

Last updated in NPPES Sep 26, 2018

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2006017939 (MO) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2007018127 (MO) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
MA1807001	Other	MO	MEDICARE
209398502	Medicaid	MO	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Justin Puckett?

Justin Puckett is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-26.