Individual provider Active NPI

Gary Edwin Zuniga

  • Independent Duty Corpsman
  • Nags Head, NC
National Provider Identifier
1467123901
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
114 W Wood Hill Dr
Nags Head, NC 27959-9394
Phone
(252) 441-0300
Fax
(252) 441-3042
NPI assigned
Sep 24, 2021
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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 NU Primary

Addresses

Primary practice location

114 W Wood Hill Dr
Nags Head, NC 27959-9394

Mailing address

114 W Wood Hill Dr
Nags Head, NC 27959-9394
Phone (252) 441-0300

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1467123901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W WOOD HILL DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599394",
            "telephone_number": "252-441-0300",
            "fax_number": "252-441-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W WOOD HILL DR",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599394",
            "telephone_number": "252-441-0300",
            "fax_number": "252-441-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "GARY",
        "middle_name": "EDWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "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 Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.