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MR. JOHN DOUGLAS MOORE DIVE IDC
NPI 1851841449
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since October 07, 2016
1004 HERMITAGE RD BLDG 1014, VIRGINIA BEACH, VA 23459(757) 462-3178 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. John Douglas Moore Dive Idc NPPES

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

MR. JOHN DOUGLAS MOORE DIVE IDC (NPI 1851841449) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1851841449
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JOHN DOUGLAS MOORECredential: DIVE IDC
Location Address1004 HERMITAGE RD BLDG 1014Virginia Beach, VA 23459-9100
Mailing Address1004 Hermitage Rd Bldg 1014Virginia Beach, VA 23459-9100 · (757) 462-3178
Phone(757) 462-3178
Sole ProprietorNo
Enumeration DateOctober 7, 2016
✔ NPI 1851841449 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.
1004 HERMITAGE RD BLDG 1014, Virginia Beach, VA 23459
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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 Moore's NPI number?

The NPI number for John Moore is 1851841449. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is John Moore located?

John Moore practices at 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459. The listed phone number is (757) 462-3178.

What is John Moore'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 Moore was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.