Active NPI
Kristopher J Duncan, MSO
- Military Health Care Provider
- Piti, GU
National Provider Identifier
1649239773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- Uss Frank Cable (As 40)
BLDG 4436 Polaris Point Rd
Piti, GU 96915 - Phone
- (671) 343-2545
- NPI assigned
- Mar 18, 2006
- Last updated
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
Uss Frank Cable (As 40)
BLDG 4436 Polaris Point Rd
Piti, GU 96915
Mailing address
Unit 100105 Box 2501
Fpo, AP 96657-0525
Phone (671) 343-2545
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": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1649239773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "UNIT 100105 BOX 2501",
"city": "FPO",
"state": "AP",
"postal_code": "966570525",
"telephone_number": "671-343-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USS FRANK CABLE (AS 40)",
"address_2": "BLDG 4436 POLARIS POINT RD",
"city": "PITI",
"state": "GU",
"postal_code": "96915",
"telephone_number": "671-343-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "KRISTOPHER",
"middle_name": "J",
"credential": "MSO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2024-01-22",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piti, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.