Individual provider Active NPI

Evan Durrer, D.C.

  • Chiropractor
  • Charlottesville, VA
National Provider Identifier
1679858922
Registry record updated Feb 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556959 Issued in VA
Practice address
1424 Greenbrier PL
Charlottesville, VA 22901-1696
Phone
(434) 249-9122
NPI assigned
Oct 19, 2011
Last updated
Feb 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009809 MI
Chiropractor 111N00000X 0104556959 VA Primary

Addresses

Primary practice location

1424 Greenbrier PL
Charlottesville, VA 22901-1696

Mailing address

1424 Greenbrier PL
Charlottesville, VA 22901-1696
Phone (434) 249-9122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000396 VA Practitioner - Chiropractic 6608036264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1424 Greenbrier PL
Charlottesville, VA 22901-1696
Phone (434) 872-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009809MIMDChiropractor
0104556959VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Chiropractic PLC Chiropractor CurrentSince Dec 2, 2013 Accepting new patients

Locations

1424 Greenbrier Pl
Charlottesville, VA 22901
Phone (434) 249-9122

Organizations & group practices 1

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": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329004800000",
    "number": "1679858922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 GREENBRIER PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011696",
            "telephone_number": "434-249-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 GREENBRIER PL",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011696",
            "telephone_number": "434-249-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRER",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2012-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009809",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2012; 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.