David Grant Durham, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010457 Issued in IA

Practice address

2175 Route 29 North
Edinburg, IL 62531

Phone

(217) 623-4505

Fax

(217) 623-4506

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Durham Chiropractic, P.C.

  • Chiropractor
  • Edinburg, IL
  • NPI 1750452793
  Medicare reassignment NPD Authorized official
• Bridgman Chiropractors. P.C.

  • Chiropractor
  • Bridgman, MI
  • NPI 1548487168
  NPD (past)
• John H. Foti, P.C.

  dba Lighthouse Chiropractic, P.C.

  • Chiropractor
  • Bridgman, MI
  • NPI 1578786620
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609970151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 ROUTE 29 NORTH",
            "address_2": "P.O. BOX 303",
            "city": "EDINBURG",
            "state": "IL",
            "postal_code": "62531",
            "telephone_number": "217-623-4505",
            "fax_number": "217-623-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROUTE 29 NORTH",
            "city": "EDINBURG",
            "state": "IL",
            "postal_code": "62531",
            "telephone_number": "217-623-4505",
            "fax_number": "217-623-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "DAVID",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "038-010457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95-0-A1-5058-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Durham Chiropractic, P.C.
• Deborah Ann Durham, RD
• Edinburg Community Unit School Dist. #4

• Chiropractor in Edinburg, IL
• Providers in Edinburg, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.