Active NPI
Cynthia Sutton Durham, D.C.
- Chiropractor
- Winston-Salem, NC
National Provider Identifier
1356435804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2689
- Practice address
- 5201 N Silas Creek Parkway
Winston-Salem, NC 27106 - Phone
- (336) 765-7620
- Fax
- (336) 765-3801
- NPI assigned
- Oct 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2689 | NC | Primary |
Addresses
Primary practice location
5201 N Silas Creek Parkway
Winston-Salem, NC 27106
Mailing address
5201 N Silas Creek Parkway
Winston-Salem, NC 27106
Phone (336) 765-7620
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890839T | Medicaid | NC | |
| 5177056 | Other | NC | AETNA |
| 0839T | Other | NC | BCBSNC |
| 33110 | Other | NC | PARTNERS |
| 607887 | Other | NC | ACN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2689 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1356435804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 N SILAS CREEK PARKWAY",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27106",
"telephone_number": "336-765-7620",
"fax_number": "336-765-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 N SILAS CREEK PARKWAY",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "27106",
"telephone_number": "336-765-7620",
"fax_number": "336-765-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "CYNTHIA",
"middle_name": "SUTTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890839T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5177056",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "0839T",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "33110",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "607887",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.