Craig Randolph Soleim, NAVY IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

822 Clark St
Naval Submarine Support Command Medical
Pearl Harbor, HI 96860-4652

Phone

(808) 473-2899

Fax

(808) 473-3109

NPI assigned

Jun 21, 2006

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

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376589077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 WAIKAHE CT",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823478",
            "telephone_number": "808-489-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 CLARK ST",
            "address_2": "NAVAL SUBMARINE SUPPORT COMMAND MEDICAL",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604652",
            "telephone_number": "808-473-2899",
            "fax_number": "808-473-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEIM",
        "first_name": "CRAIG",
        "middle_name": "RANDOLPH",
        "credential": "NAVY IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "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": []
}

• David Singleton II
• Jessica Singleton, DDS
• Whitney Aiko Smith, DDS
• Fawn Roegene Snow, RN
• Amy Katharyn Snyder, R.N.
• Michael Spoelstra, D.D.S.
• Heather Lynn Stein, DMD, MS
• Taylor Anne Stubblefield, IDC
• Edwin Ernest Stumpf II, RN, CCM
• Cherryl Nobuko Sugimoto, PHARM.D., M.B.A.

• Independent Duty Corpsman in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Independent Duty Corpsman in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.