Durkin Physical Medicine

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2018000924 Issued in MO

Legal business name

DURKIN PHYSICAL MEDICINE

Practice address

1099 Milwaukee St Ste 240
Kirkwood, MO 63122-7360

Phone

(314) 822-1502

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Patrick Durkin, DC

Title

Clinician

Phone

(773) 573-0895

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1174031728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 MARYLAND AVE APT 9C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082700",
            "telephone_number": "773-573-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MILWAUKEE ST STE 240",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227360",
            "telephone_number": "314-822-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURKIN PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "773-573-0895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MO",
            "license": "2018000924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.