Individual provider Active NPI

Andres M Naranjo, IDC

  • Independent Duty Medical Technicians
  • North Charleston, SC
National Provider Identifier
1669604757
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
1050 Remount Rd BLDG 3107
North Charleston, SC 29406-3516
Phone
(843) 794-0053
NPI assigned
Aug 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

1050 Remount Rd BLDG 3107
North Charleston, SC 29406-3516

Mailing address

107 Pickett Creek LN
Bluffton, SC 29909-7823
Phone (904) 349-6937

Other practice location 1

Building FC365 Gonzalez Blvd Camp
Camp Lejeune, NC 28542
Phone (904) 349-6937

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": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1669604757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PICKETT CREEK LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097823",
            "telephone_number": "904-349-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REMOUNT RD BLDG 3107",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063516",
            "telephone_number": "843-794-0053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Building FC365 Gonzalez Blvd Camp",
            "address_purpose": "LOCATION",
            "city": "Camp Lejeune",
            "state": "NC",
            "postal_code": "28542",
            "country_code": "US",
            "telephone_number": "904-349-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "ANDRES",
        "middle_name": "M",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-22",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.