MR. ALLEN CHASE ENNIS IDC
NPI 1619310315
Military Health Care Provider - Independent Duty Corpsman in Oceanside, CA

Active since April 11, 2013
720 RODEO ST, OCEANSIDE, CA 92058(910) 922-6128 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Allen Chase Ennis Idc NPPES

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

MR. ALLEN CHASE ENNIS IDC (NPI 1619310315) is an individual independent duty corpsman provider in Oceanside, California and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1619310315
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. ALLEN CHASE ENNISCredential: IDC
Location Address720 RODEO STOceanside, CA 92058-6881
Mailing Address720 Rodeo StOceanside, CA 92058-6881 · (910) 922-6128
Sole ProprietorYes
Enumeration DateApril 11, 2013
NPI 1619310315 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.
720 RODEO ST, Oceanside, CA 92058

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 Allen Ennis's NPI number?

The NPI number for Allen Ennis is 1619310315. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Allen Ennis located?

Allen Ennis practices at 720 Rodeo St, Oceanside, CA 92058. The listed phone number is (910) 922-6128.

What is Allen Ennis'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 Allen Ennis was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.