Dustin Bentley Kinney, IDHS

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

9235 Grouper Rd
Cape Canaveral, FL 32920-4402

Phone

(937) 214-4153

NPI assigned

Sep 24, 2021

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

Electronic endpoints 1

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1619648011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 GROUPER RD",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329204402",
            "telephone_number": "937-214-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 GROUPER RD",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329204402",
            "telephone_number": "937-214-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "DUSTIN",
        "middle_name": "BENTLEY",
        "credential": "IDHS",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dustin.b.kinney@uscg.mil",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "9235 Grouper Rd",
            "city": "Cape Canaveral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329204402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Independent Duty Corpsman in Cape Canaveral, FL
• Providers in Cape Canaveral, FL by specialty
• Independent Duty Corpsman in Florida

• 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.