NPIMap

Organization Active NPI

US Navy

  • Exclusive Provider Organization
  • Groton, CT
National Provider Identifier
1750631685
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
US NAVY
Practice address
207 Hickory Dr
Groton, CT 06340-2946
Phone
(361) 522-5925
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Mr. Ismael Arturo Lopez, SUB IDC
Title
Sub Idc
Phone
(361) 522-5925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

207 Hickory Dr
Groton, CT 06340-2946

Mailing address

207 Hickory Dr
Groton, CT 06340-2946
Phone (361) 522-5925

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1750631685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HICKORY DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402946",
            "telephone_number": "361-522-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HICKORY DR",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402946",
            "telephone_number": "361-522-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "SUB IDC",
        "authorized_official_telephone_number": "361-522-5925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SUB IDC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.