Active NPI
Charity Durham, DO
- Family Medicine Physician
- Avon, CT
National Provider Identifier
1225697451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 70567
- Practice address
- 282 W Main St Ste 203
Avon, CT 06001-3639 - Phone
- (860) 901-2249
- Fax
- (860) 271-0998
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 153-T2 | WY | |
| Family Medicine Physician | 207Q00000X | 70567 | CT | Primary |
Addresses
Primary practice location
282 W Main St Ste 203
Avon, CT 06001-3639
Mailing address
282 W Main St Ste 203
Avon, CT 06001-3639
Phone (860) 901-2249
Other names 1
- Charity Orriss
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 13, 2023 through Jun 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70567 | CT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1225697451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 W MAIN ST STE 203",
"city": "AVON",
"state": "CT",
"postal_code": "060013639",
"telephone_number": "860-901-2249",
"fax_number": "860-271-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 W MAIN ST STE 203",
"city": "AVON",
"state": "CT",
"postal_code": "060013639",
"telephone_number": "860-901-2249",
"fax_number": "860-271-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "CHARITY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-11",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "153-T2",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "70567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARITY",
"last_name": "ORRISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Avon, CT
- Joseph Downs, PA
- Dr. Brianna Munoz, DMD, MPH, PLLC
- Dr. Jason E. Frankel Musculoskeletal Therapy & Rehabilitation, Inc.
- Dr. Timothy Owens, D.C., LLC
- Josie C Dumond, NP-C
- Jay Roland Duxin, M.D.
- Brianne M Dwyer, DPT
- Dynamic Health Physical Therapy
- Eastern Rehabilitation Network
- Sherald Patricia Eklund, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.