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MARTIN LEE DIERKS JR. IDC
NPI 1902132434
Military Health Care Provider - Independent Duty Corpsman in De Soto, MO

Active since October 17, 2009
2915 PARTHENON DR, DE SOTO, MO 63020(757) 650-8436 Get Directions Write a Review

NPPES record last updated: October 17, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin Lee Dierks Jr. Idc NPPES

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

MARTIN LEE DIERKS JR. IDC (NPI 1902132434) is an individual independent duty corpsman provider in De Soto, Missouri and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1902132434
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMARTIN LEE DIERKS JR.Credential: IDC
Location Address2915 PARTHENON DRDe Soto, MO 63020-4645
Mailing Address2915 Parthenon DrDe Soto, MO 63020-4645 · (757) 650-8436
Phone(757) 650-8436
Sole ProprietorNo
Enumeration DateOctober 17, 2009
✔ NPI 1902132434 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.
2915 PARTHENON DR, De Soto, MO 63020
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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 Martin Dierks's NPI number?

The NPI number for Martin Dierks is 1902132434. It was assigned to this individual provider in the NPPES registry on October 17, 2009.

Where is Martin Dierks located?

Martin Dierks practices at 2915 Parthenon Dr, De Soto, MO 63020. The listed phone number is (757) 650-8436.

What is Martin Dierks'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 Martin Dierks was last updated on October 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.