Individual provider Active NPI

Benny Husinecky III, IDC

  • Independent Duty Corpsman
  • Virginia Beach, VA
National Provider Identifier
1437587375
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
221 Mica Ave
Apt 304
Virginia Beach, VA 23462-4579
Phone
(850) 723-4506
NPI assigned
Oct 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

221 Mica Ave
Apt 304
Virginia Beach, VA 23462-4579

Mailing address

221 Mica Ave
Apt 304
Virginia Beach, VA 23462-4579

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": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1437587375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MICA AVE",
            "address_2": "APT 304",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MICA AVE",
            "address_2": "APT 304",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624579",
            "telephone_number": "850-723-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSINECKY",
        "first_name": "BENNY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "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 Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.