Jose Miguel De Jesus-Carrion

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

BLDG a-71 Sneads Ferry Rd.
Camp Lejeune, NC 28542-0138

Phone

(910) 440-7703

NPI assigned

May 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

Other names 1

• Jose Miguel De Jesus Other name

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1700451622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5-3845 COMBAT MEDIC DRIVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283109610",
            "telephone_number": "910-394-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG A-71 SNEADS FERRY RD.",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420138",
            "telephone_number": "910-440-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS-CARRION",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "DE JESUS",
            "middle_name": "MIGUEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Antoinette Davis, REGISTERED NURSE
• Linda Houston Davis, COTA/L
• Robert David Davis, MD
• Ryan Matthew Davis, D.D.S
• Stacie Michelle Davis, LCSW, LISW-CP
• Courtney Marie De Jesus, DO
• Joseph Solorio De la Cruz Jr., PHYSICIAN ASSISTANT
• Dawn Meadows Deal
• Mickey James Deavers, DMSC, MPAS, PA-C
• Crystal Decker

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.