Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DAVID ANDREW PETERSON JR.
NPI 1639147606
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is David Peterson's NPI number?

The NPI number for David Peterson is 1639147606. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is David Peterson'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 David Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 March 08, 2006

NOMI DET NUMI SUBMARINE BASE NLON, BUILDING 159, GROTON, CT 06349(860) 694-2876(860) 694-3874 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. David Andrew Peterson Jr. NPPES

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

MR. DAVID ANDREW PETERSON JR. (NPI 1639147606) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1639147606

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. DAVID ANDREW PETERSON JR.

Location AddressNOMI DET NUMI SUBMARINE BASE NLON, BUILDING 159Groton, CT 06349

Mailing Address125 Hickory StNorwich, CT 06360-4634 · (860) 514-5293

Phone(860) 694-2876

Fax(860) 694-3874

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1639147606 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.

NOMI DET NUMI SUBMARINE BASE NLON, Groton, CT 06349

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Other Identifiers 1

Other1710I1002XIndependent Duty Corpsman

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 David Peterson's NPI number?

The NPI number for David Peterson is 1639147606. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is David Peterson located?

David Peterson practices at Nomi Det Numi Submarine Base Nlon Building 159, Groton, CT 06349. The listed phone number is (860) 694-2876.

What is David Peterson'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 David Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.