Joey Depositar Torres, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

105 Grant Cir
Building 527, Suite 133
Offutt a F B, NE 68113-4041

Phone

(402) 294-7346

NPI assigned

Apr 14, 2009

Last updated

Jan 20, 2010By the provider in NPPES

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1659514057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GRANT CIR",
            "address_2": "BUILDING 527, SUITE 133",
            "city": "OFFUTT A F B",
            "state": "NE",
            "postal_code": "681134041",
            "telephone_number": "402-294-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GRANT CIR",
            "address_2": "BUILDING 527, SUITE 133",
            "city": "OFFUTT A F B",
            "state": "NE",
            "postal_code": "681134041",
            "telephone_number": "402-294-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JOEY",
        "middle_name": "DEPOSITAR",
        "name_prefix": "Mr.",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Thiede, APRN, FNP-C
• Mark Raymond Tims, PSY.D.
• Finn Tipps
• Job Torres-Gomez, D.M.D.
• Crescencio Torres, M.D.
• Corey Toscano, DMD
• William Ryan Toth, M.D.
• Quan Nguyen Tram, PHARMD
• Michael Donald Triassi, DO
• James Jay Tschudy III, M.D.

• Independent Duty Medical Technicians in Offutt AFB, NE
• Providers in Offutt AFB, NE by specialty
• Independent Duty Medical Technicians in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.