IndividualActive
Jerricson Peralta, IDC
NPI 1740719814 · Independent Duty Corpsman · Kittery, ME
Provider details
- NPI number
- 1740719814
- 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(63/100 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
402 Goodrich Avenue
Kittery, ME 03904
Phone: (207) 438-1781
Approximate (ZIP-level) locationGet directions
Mailing address
6850 Mission Gorge Rd Apt 1248
San Diego, CA 92120-2478
Registry dates
- Enumerated
- 2017-06-12
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.