MR. MICHAEL PAUL DORRIS
NPI 1093064560
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since August 30, 2012
16 DIVISION ST APT 1S, GROTON, CT 06340(760) 500-3776 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael Paul Dorris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL PAUL DORRIS (NPI 1093064560) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1093064560
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MICHAEL PAUL DORRIS
Location Address16 DIVISION ST APT 1SGroton, CT 06340-5015
Mailing Address2333 Kapiolani Blvd Apt 1015Honolulu, HI 96826-4420 · (760) 500-3776
Sole ProprietorNo
Enumeration DateAugust 30, 2012
Last NPPES UpdateSeptember 6, 2013
NPI 1093064560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
16 DIVISION ST APT 1S, Groton, CT 06340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Dorris's NPI number?

The NPI number for Michael Dorris is 1093064560. It was assigned to this individual provider in the NPPES registry on August 30, 2012.

Where is Michael Dorris located?

Michael Dorris practices at 16 Division St Apt 1S, Groton, CT 06340. The listed phone number is (760) 500-3776.

What is Michael Dorris's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Michael Dorris was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.