NPIMap

Organization Active NPI

Duncan Chiropractic, Inc.

  • Chiropractor
  • Eureka, CA
National Provider Identifier
1508205824
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32566 Issued in CA
Legal business name
DUNCAN CHIROPRACTIC, INC.
Practice address
1459 Myrtle Ave
Eureka, CA 95501-1304
Phone
(707) 442-0881
Fax
(707) 442-1084
NPI assigned
Jun 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Jordan Daniel Duncan, D.C.NPI 1881975340
Title
President
Phone
(360) 620-8487

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 32566 CA Primary

Addresses

Primary practice location

1459 Myrtle Ave
Eureka, CA 95501-1304

Mailing address

1459 Myrtle Ave
Eureka, CA 95501-1304
Phone (707) 442-0881

National Provider Directory

National Provider Directory

Locations

1459 Myrtle Ave
Eureka, CA 95501
Phone (707) 442-0881

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1508205824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011304",
            "telephone_number": "707-442-0881",
            "fax_number": "707-442-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955011304",
            "telephone_number": "707-442-0881",
            "fax_number": "707-442-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-620-8487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.