MR. TYLER ELLIOT JOHNSON IDC
NPI 1679846281
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Q: What is Tyler Johnson's NPI number?

The NPI number for Tyler Johnson is 1679846281. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Q: What is Tyler Johnson'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 Tyler Johnson was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 February 13, 2012

342 DOVER CT, VIRGINIA BEACH, VA 23454(415) 672-2782 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Tyler Elliot Johnson Idc NPPES

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

MR. TYLER ELLIOT JOHNSON IDC (NPI 1679846281) is an individual independent duty corpsman provider in Virginia Beach, Virginia, licensed in California (B8829445) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1679846281

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. TYLER ELLIOT JOHNSONCredential: IDC

Location Address342 DOVER CTVirginia Beach, VA 23454-4253

Mailing Address342 Dover CtVirginia Beach, VA 23454-4253 · (415) 672-2782

Phone(415) 672-2782

Sole ProprietorYes

Enumeration DateFebruary 13, 2012

✔ NPI 1679846281 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

License✔ Licensed in CA · B8829445

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.

342 DOVER CT, Virginia Beach, VA 23454

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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 Tyler Johnson's NPI number?

The NPI number for Tyler Johnson is 1679846281. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Where is Tyler Johnson located?

Tyler Johnson practices at 342 Dover Ct, Virginia Beach, VA 23454. The listed phone number is (415) 672-2782.

What is Tyler Johnson'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 Tyler Johnson was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.