NICHOLAS DAVID BECKER
NPI 1174109540
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since March 24, 2021

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas David Becker NPPES

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

NICHOLAS DAVID BECKER (NPI 1174109540) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174109540
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameNICHOLAS DAVID BECKER
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing Address1 Wahoo AveGroton, CT 06349-2324 · (860) 694-4123
Sole ProprietorNo
Enumeration DateMarch 24, 2021
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1174109540 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.
1 WAHOO AVE, Groton, CT 06349

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349

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 Nicholas Becker's NPI number?

The NPI number for Nicholas Becker is 1174109540. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Nicholas Becker located?

Nicholas Becker practices at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (860) 694-4123.

What is Nicholas Becker'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 Nicholas Becker was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.