Active NPI
United States Navy
- Independent Duty Corpsman
- Virginia Beach, VA
National Provider Identifier
1295009728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.