Organization Active NPI

United States Navy

  • Independent Duty Corpsman
  • Virginia Beach, VA
National Provider Identifier
1295009728
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Legal business name
UNITED STATES NAVY
Practice address
667 Orangewood Dr
Virginia Beach, VA 23453-2124
Phone
(619) 925-0259
NPI assigned
Mar 1, 2012
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Mr. Eben Artruro Sanchez, SURFACE IDC
Title
Idc
Phone
(619) 925-0259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X NU Primary

Addresses

Primary practice location

667 Orangewood Dr
Virginia Beach, VA 23453-2124

Mailing address

667 Orangewood Dr
Virginia Beach, VA 23453-2124
Phone (619) 925-0259

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1295009728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 ORANGEWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532124",
            "telephone_number": "619-925-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 ORANGEWOOD DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234532124",
            "telephone_number": "619-925-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "EBEN",
        "authorized_official_middle_name": "ARTRURO",
        "authorized_official_title_or_position": "IDC",
        "authorized_official_telephone_number": "619-925-0259",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SURFACE IDC"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.