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

Mr. Justin Carl Carpenter, IDC

Individual provider Independent Duty Corpsman · NPI 1336079003

Mr. Justin Carl Carpenter, IDC is an Independent Duty Corpsman in Coronado, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1405 Leyte Rd Apt D
Coronado, CA 92118-3185
Phone: (513) 800-6866
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1336079003
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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