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MR. JUSTIN CARL CARPENTER IDC
NPI 1336079003
Military Health Care Provider - Independent Duty Corpsman in Coronado, CA

Active since May 22, 2026
1405 LEYTE RD APT D, CORONADO, CA 92118(513) 800-6866 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin Carl Carpenter Idc NPPES

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

MR. JUSTIN CARL CARPENTER IDC (NPI 1336079003) is an individual independent duty corpsman provider in Coronado, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1336079003
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JUSTIN CARL CARPENTERCredential: IDC
Location Address1405 LEYTE RD APT DCoronado, CA 92118-3185
Mailing Address1405 Leyte Rd Apt DCoronado, CA 92118-3185 · (513) 800-6866
Phone(513) 800-6866
Sole ProprietorYes
Enumeration DateMay 22, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1336079003 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.
1405 LEYTE RD APT D, Coronado, CA 92118
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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 Justin Carpenter's NPI number?

The NPI number for Justin Carpenter is 1336079003. It was assigned to this individual provider in the NPPES registry on May 22, 2026.

Where is Justin Carpenter located?

Justin Carpenter practices at 1405 Leyte Rd Apt D, Coronado, CA 92118. The listed phone number is (513) 800-6866.

What is Justin Carpenter'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 Justin Carpenter was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.