What is Justin Tanco's NPI number?

Justin Tanco's National Provider Identifier (NPI) is 1255183067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Justin Tanco's specialty?

Justin Tanco is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Justin Tanco located?

Justin Tanco's practice location on file with NPPES is Bldg. 159 Trout Ave, Groton, CT 06349.

What is Justin Tanco's phone number?

The practice phone number listed in the NPPES registry for Justin Tanco is (860) 694-2876.

Is Justin Tanco's NPI active?

Yes — Justin Tanco's NPI (1255183067) is active in the NPPES registry as of the last update on 2024-04-04.

IndividualActive

Justin Tanco, IDC

NPI 1255183067 · Independent Duty Corpsman · Groton, CT

Justin Tanco, IDC is a Independent Duty Corpsman provider in Groton, CT (NPI 1255183067).

Provider details

NPI number: 1255183067
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Profile Score

Established profile(50/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

Bldg. 159 Trout Ave

Groton, CT 06349

Phone: (860) 694-2876

Approximate (ZIP-level) locationGet directions

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Mailing address