MR. JOHN WILLIAM VANDAL
NPI 1508593393
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is John Vandal's NPI number?

The NPI number for John Vandal is 1508593393. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Q: What is John Vandal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Vandal was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 02, 2022

68 BURNINGTREE DR, GROTON, CT 06340(207) 808-9295 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. John William Vandal NPPES

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

MR. JOHN WILLIAM VANDAL (NPI 1508593393) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1508593393

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. JOHN WILLIAM VANDAL

Location Address68 BURNINGTREE DRGroton, CT 06340-3102

Mailing Address68 Burningtree DrGroton, CT 06340-3102 · (207) 808-9295

Phone(207) 808-9295

Sole ProprietorNo

Enumeration DateAugust 2, 2022

NPPES CertifiedAugust 2, 2022

✔ NPI 1508593393 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.

68 BURNINGTREE DR, Groton, CT 06340

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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 John Vandal's NPI number?

The NPI number for John Vandal is 1508593393. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is John Vandal located?

John Vandal practices at 68 Burningtree Dr, Groton, CT 06340. The listed phone number is (207) 808-9295.

What is John Vandal'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 John Vandal was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.