Dudum Chiropractic a Professional Corporation

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

32294 Issued in CA

Legal business name

DUDUM CHIROPRACTIC A PROFESSIONAL CORPORATION

Practice address

1280 Civic Drive
Suite 104
Walnut Creek, CA 94596

Phone

(925) 300-3302

Fax

(925) 464-7826

NPI assigned

Nov 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. James DudumNPI 1902169618

Title

President

Phone

(925) 818-2025

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Dudum, D.C.

  • Sports Physician Chiropractor
  • Pleasant Hill, CA
  • NPI 1902169618
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1669802336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 CIVIC DRIVE",
            "address_2": "SUITE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-300-3302",
            "fax_number": "925-464-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 CIVIC DRIVE",
            "address_2": "SUITE 104",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-300-3302",
            "fax_number": "925-464-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDUM CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "DUDUM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-818-2025",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "32294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Duarte
• Marbella Duarte
• Andrew J. Dublin, MD
• Alyssa Dudley
• Casey Gorman Dudley, MS/BCBA
• Deborah Sue Duell-Stephens, LMFT
• Cathy C. Dugan, MD
• Necole Dugan
• Kian Dumesnil-Vickers
• Teodora Dumitrescu, MD

• Preferred Provider Organization in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.