Individual provider Active NPI

Adam Duress, DC

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1073163820
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010857 Issued in MI
Practice address
827 W Front St
Traverse City, MI 49684-2465
Phone
(231) 946-9246
NPI assigned
Sep 13, 2019
Last updated
Sep 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010857 MI Primary

Addresses

Primary practice location

827 W Front St
Traverse City, MI 49684-2465

Mailing address

827 W Front St
Traverse City, MI 49684-2465
Phone (231) 946-9246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722003092 OH Practitioner - Chiropractic 1557807963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

116 /2 S Main St
Unit C
Marysville, OH 43040-1671
Phone (567) 232-1274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010857MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
River of Life Chiropractic and Wellness PLLC Chiropractor CurrentSince Sep 15, 2019 Accepting new patients
Durable Chiropractic and Wellness Chiropractor CurrentSince Jun 11, 2024 Accepting new patients
Onthank Chiropractic Center Chiropractor PastSince Sep 15, 2019 Accepting new patients

Locations

827 W Front St
Traverse City, MI 49684
Phone (231) 499-1371

116 S Main St
Unit C
Marysville, OH 43040
Phone (567) 232-1274

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1073163820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842465",
            "telephone_number": "231-946-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842465",
            "telephone_number": "231-946-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURESS",
        "first_name": "ADAM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.