NPIMap

Organization Active NPI

US Navy

  • Military Hospital
  • Beaufort, SC
National Provider Identifier
1104202662
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
DGD,8626.GD Issued in SC
Legal business name
US NAVY
Practice address
1 Pinckney Blvd
Beaufort, SC 29902-6122
Phone
(843) 228-5994
Fax
(843) 228-5728
NPI assigned
Aug 7, 2015
Last updated
Aug 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Authorized official

Name
Dr. George Leigh Walrath, DMDNPI 1245618131
Title
Dentist
Phone
(626) 321-2334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X DGD,8626.GD SC Primary

Addresses

Primary practice location

1 Pinckney Blvd
Beaufort, SC 29902-6122

Mailing address

7034 W Aire Libre Ave
Peoria, AZ 85382-3963
Phone (626) 321-2334

National Provider Directory

National Provider Directory
Tax ID family
Nmcsd63 organizations share this tax ID, including this one

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1104202662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7034 W AIRE LIBRE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823963",
            "telephone_number": "626-321-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026122",
            "telephone_number": "843-228-5994",
            "fax_number": "843-228-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "WALRATH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-321-2334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "SC",
            "license": "DGD,8626.GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.