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Dwight Koontz, IDC
NPI 1235682055 · Independent Duty Corpsman · San Diego, CA
Dwight Koontz, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1235682055).
Provider details
- NPI number
- 1235682055
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34101 Farenholt Ave
Building 14
San Diego, CA 92134-7000
Phone: (619) 543-0000
Approximate (ZIP-level) locationGet directions
Mailing address
34101 Farenholt Ave
Apo, AA 92134
Registry dates
- Enumerated
- 2016-07-28
- Last updated
- 2016-07-28
Frequently asked questions
- What is Dwight Koontz's NPI number?
- Dwight Koontz's National Provider Identifier (NPI) is 1235682055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwight Koontz's specialty?
- Dwight Koontz is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Dwight Koontz located?
- Dwight Koontz's practice location on file with NPPES is 34101 Farenholt Ave, San Diego, CA 92134-7000.
- What is Dwight Koontz's phone number?
- The practice phone number listed in the NPPES registry for Dwight Koontz is (619) 543-0000.
- Is Dwight Koontz's NPI active?
- Yes — Dwight Koontz's NPI (1235682055) is active in the NPPES registry as of the last update on 2016-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.