Joel W Durham, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC-831 Issued in TN

Practice address

25 Corporate Blvd
Jackson, TN 38305-2314

Phone

(731) 664-2929

Fax

(731) 664-7555

NPI assigned

Apr 5, 2006

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1990

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

  • Chiropractor
  • Jackson, TN
  • NPI 1548669872
  NPD (past) Authorized official
• Williams & Williams Chiropractic Clinic

  • Chiropractor
  • Jackson, TN
  • NPI 1245441963

  Sports Physician

  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1710949722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CORPORATE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052314",
            "telephone_number": "731-664-2929",
            "fax_number": "731-664-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CORPORATE BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052314",
            "telephone_number": "731-664-2929",
            "fax_number": "731-664-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "JOEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TN",
            "license": "DC-831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF TENN",
            "identifier": "00001997769-02",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350050083",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1719192",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3154438",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5744028",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Dunn
• Grace Dunn, LCSW
• Robert H Dunnebacke, M.D.
• Duo Services Inc (Comfort Keepers)
• Durham Chiropractic
• John W Duval, MD
• Elizabeth A Dye, PT
• Angela Marie Dyer, OT
• Jeffrey N Dyer, PHYSICAL THERAPIST
• Lisa J Dyer, DNP, APRN, FNP-BC

• Sports Physician Chiropractor in Jackson, TN
• Providers in Jackson, TN by specialty
• Sports Physician Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.