NPIMap

Individual provider Active NPI

Raymond T. Durham, D.C.

  • Radiology Chiropractor
  • Georgetown, TX
National Provider Identifier
1386647774
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
7228 Issued in TX
Practice address
400 Del Webb Blvd
Ste 103B
Georgetown, TX 78628-4484
Phone
(512) 864-2880
Fax
(512) 864-2881
NPI assigned
May 31, 2005
Last updated
Jan 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X 7228 TX Primary

Addresses

Primary practice location

400 Del Webb Blvd
Ste 103B
Georgetown, TX 78628-4484

Mailing address

400 Del Webb Blvd
Ste 103B
Georgetown, TX 78628-4484
Phone (512) 864-2880

Other identifiers 4

IdentifierTypeStateIssuer
8265913OtherTXBLUE LINK
605681OtherTXBLUECROSS BLUESHIELD TX
DC7228OtherTXCHIROPRACTIC LICENSE
667532OtherTXACN GROUP

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jon Sibert DC PA Radiology Past Accepting new patients
Magnolia Health Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1386647774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEL WEBB BLVD",
            "address_2": "STE 103B",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284484",
            "telephone_number": "512-864-2880",
            "fax_number": "512-864-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DEL WEBB BLVD",
            "address_2": "STE 103B",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786284484",
            "telephone_number": "512-864-2880",
            "fax_number": "512-864-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "RAYMOND",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "TX",
            "license": "7228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "8265913",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TX",
            "identifier": "605681",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC7228",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "667532",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.