Organization Active NPI

Dan Eugene Durrieu PA

  • Clinic/Center
  • Tampa, FL
National Provider Identifier
1306055314
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH7730 Issued in FL
Legal business name
DAN EUGENE DURRIEU PA
Practice address
5015 W Waters Ave
Suite D
Tampa, FL 33634-1317
Phone
(813) 882-8181
Fax
(813) 882-3413
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Dan Eugene Durrieu, D.C.NPI 1255347134
Title
President
Phone
(813) 882-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH7730 FL Primary

Addresses

Primary practice location

5015 W Waters Ave
Suite D
Tampa, FL 33634-1317

Mailing address

5015 W Waters Ave
Suite D
Tampa, FL 33634-1317
Phone (813) 882-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000355 FL Part B Supplier - Clinic/Group Practice 0143487827 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

5015 W Waters Ave
Ste D
Tampa, FL 33634
Phone (813) 882-8181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1306055314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 W WATERS AVE",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341317",
            "telephone_number": "813-882-8181",
            "fax_number": "813-882-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 W WATERS AVE",
            "address_2": "SUITE D",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341317",
            "telephone_number": "813-882-8181",
            "fax_number": "813-882-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN EUGENE DURRIEU PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "DURRIEU",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-882-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH7730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.