Organization Active NPI

Durham Chiropractic P.a.

  • Chiropractor
  • Palatka, FL
National Provider Identifier
1295025385
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9939 Issued in FL
Legal business name
DURHAM CHIROPRACTIC P.A.
Practice address
306 Reid St
Palatka, FL 32177-3732
Phone
(386) 546-3006
NPI assigned
Apr 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Barney Van Durham II, D.C.
Title
President
Phone
(386) 546-3006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH9939 FL Primary

Addresses

Primary practice location

306 Reid St
Palatka, FL 32177-3732

Mailing address

147 W Bannerville Rd
Palatka, FL 32177-8207
Phone (386) 546-3006

National Provider Directory

National Provider Directory

Locations

390 Bardin Rd
Palatka, FL 32177
Phone (386) 546-3006

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1295025385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W BANNERVILLE RD",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321778207",
            "telephone_number": "386-546-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 REID ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773732",
            "telephone_number": "386-546-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-546-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.