Christopher L Durham, DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

8385 Issued in NC

Practice address

6 N Pointe CT Ste 101
Greensboro, NC 27408-3235

Phone

(336) 275-6600

Fax

(336) 275-6699

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cdurham2791914@carolinashealthcaresystem.direct-ci.com

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1407054224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N POINTE CT STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083187",
            "telephone_number": "336-275-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N POINTE CT STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083235",
            "telephone_number": "336-275-6600",
            "fax_number": "336-275-6699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Ross St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035419",
            "country_code": "US",
            "telephone_number": "336-318-1014",
            "fax_number": "336-318-2783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 N Church St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011439",
            "country_code": "US",
            "telephone_number": "336-275-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8385",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0442000070",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "8385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909214",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Dupree, PT
• Harmonie Janae' Dupree
• Sheritta Dupree
• Tieshia Ann Durant, NP
• Alison Adams Durham, D.P.M
• Kawanta Foster Durham, M.D.
• Kenan Durham
• Dwayne'S Extended Family Services, Inc.
• Dwell Ministry PC
• Dynamic Duo Counseling PLLC

• Oral & Maxillofacial Surgery (D.M.D.) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; 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.

Verify at the official NPI Registry.