Zachary Albert Krock, MILITARY HEALTH CARE

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

3D Marine Raider Battalion PSC 20073
Camp Lejeune, NC 28542-0073

Phone

(916) 884-4929

NPI assigned

Sep 22, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1063135242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3D MARINE RAIDER BATTALION PSC BOX 20073",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420073",
            "telephone_number": "916-884-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3D MARINE RAIDER BATTALION PSC 20073",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420073",
            "telephone_number": "916-884-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROCK",
        "first_name": "ZACHARY",
        "middle_name": "ALBERT",
        "name_prefix": "Mr.",
        "credential": "MILITARY HEALTH CARE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOD PROVIDER",
            "identifier": "1391686943",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Genesis",
            "affiliation": "N",
            "address_1": "3D Marine Raider Battalion PSC 20073",
            "city": "Camp Lejeune",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285420073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward Duval Koonce Jr., DPT
• Joseph Guy Kotora Jr., D.O.
• Ashley Kovacs, DPT
• Devon Nicole Kovacs, CRNA
• Mary Elizabeth Krebsbach, CNM
• George Leo Krow Jr., IDC
• Kerri Jill Krueger, NP
• David Chandler Krulak, M.D.
• Lani Ann Kuhlow, CRNA
• Megan Labuz, MD

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.