Active NPI
Mario M Faria
- Independent Duty Corpsman
- Silverdale, WA
National Provider Identifier
1366773038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 2100 Thresher Ave
Uss Pennsylvania SSBN 735
Silverdale, WA 98315 - Phone
- (360) 476-6812
- NPI assigned
- Jan 20, 2010
- Last updated
- Jan 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
2100 Thresher Ave
Uss Pennsylvania SSBN 735
Silverdale, WA 98315
Mailing address
2100 Thresher Ave
Uss Pennsylvania SSBN 735
Silverdale, WA 98315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1366773038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 THRESHER AVE",
"address_2": "USS PENNSYLVANIA SSBN 735",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 THRESHER AVE",
"address_2": "USS PENNSYLVANIA SSBN 735",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "98315",
"telephone_number": "360-476-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIA",
"first_name": "MARIO",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.