Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Knoppert, IDC

Individual provider Independent Duty Corpsman · NPI 1598394975

Jordan Knoppert, IDC is an Independent Duty Corpsman in Groton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020

Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-2073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CT)

Record details

NPI number1598394975
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address1390 Santa Alicia Ave Apt 9204, Chula Vista, CA 91913-1857

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