Individual provider Active NPI

Misty Michelle Durbin, D.C.

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1740337419
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC10083 Issued in TX
Practice address
5022 Holly Rd
Suite 104
Corpus Christi, TX 78411-4761
Phone
(361) 991-8887
Fax
(361) 991-8889
NPI assigned
Jan 4, 2007
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC10083 TX Primary
Pediatric Chiropractor 111NP0017X 10083 TX

Addresses

Primary practice location

5022 Holly Rd
Suite 104
Corpus Christi, TX 78411-4761

Mailing address

5022 Holly Rd
Suite 104
Corpus Christi, TX 78411-4761
Phone (361) 991-8887

Other identifiers 1

IdentifierTypeStateIssuer
317335301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000434 TX Practitioner - Chiropractic 0244252146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5022 Holly Rd
Suite 104
Corpus Christi, TX 78411-4760
Phone (361) 991-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10083TXMDMental Health Counselor
DC10083TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Durbin Chiropractic & Wellness Center Chiropractor CurrentSince Oct 9, 2012 Accepting new patients
Work Accident Center Chiropractor Past Accepting new patients

Locations

5022 Holly Rd
Ste 104
Corpus Christi, TX 78411
Phone (361) 906-0166

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1740337419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 HOLLY RD",
            "address_2": "SUITE 104",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114761",
            "telephone_number": "361-991-8887",
            "fax_number": "361-991-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 HOLLY RD",
            "address_2": "SUITE 104",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114761",
            "telephone_number": "361-991-8887",
            "fax_number": "361-991-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "MISTY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC10083",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "10083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317335301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.