DANIEL KURT MOFFETT
NPI 1295679454
Military Health Care Provider - Independent Duty Medical Technicians in Scott Air Force Base, IL

Active since April 17, 2026
4621 PATRICK HENRY CIR UNIT A, SCOTT AIR FORCE BASE, IL 62225(814) 323-0666 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Kurt Moffett NPPES

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

DANIEL KURT MOFFETT (NPI 1295679454) is an individual independent duty medical technicians provider in Scott Air Force Base, Illinois and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1295679454
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameDANIEL KURT MOFFETT
Location Address4621 PATRICK HENRY CIR UNIT AScott Air Force Base, IL 62225-6846
Mailing Address4621 Patrick Henry Cir Unit AScott Air Force Base, IL 62225-6846 · (814) 323-0666
Sole ProprietorNo
Enumeration DateApril 17, 2026
NPPES CertifiedApril 17, 2026
NPI 1295679454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
4621 PATRICK HENRY CIR UNIT A, Scott Air Force Base, IL 62225

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 Daniel Moffett's NPI number?

The NPI number for Daniel Moffett is 1295679454. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Daniel Moffett located?

Daniel Moffett practices at 4621 Patrick Henry Cir Unit A, Scott Air Force Base, IL 62225. The listed phone number is (814) 323-0666.

What is Daniel Moffett's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Daniel Moffett was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.