NPIMap

Organization Active NPI

Durrum Chiropractic Clinic LLC

  • Chiropractor
  • Mount Pleasant, TX
National Provider Identifier
1891115069
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8436 Issued in TX
Legal business name
DURRUM CHIROPRACTIC CLINIC LLC
Practice address
1011 N Jefferson Ave
Mount Pleasant, TX 75455-3261
Phone
(903) 572-1128
Fax
(903) 572-1138
NPI assigned
Apr 25, 2014
Last updated
Apr 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Dr. Courtney Michelle Durrum, D.C.NPI 1609099555
Title
Dr./Owner
Phone
(903) 572-1128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8436 TX Primary

Addresses

Primary practice location

1011 N Jefferson Ave
Mount Pleasant, TX 75455-3261

Mailing address

1011 N Jefferson Ave
Mount Pleasant, TX 75455-3261
Phone (903) 572-1128

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1891115069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754553261",
            "telephone_number": "903-572-1128",
            "fax_number": "903-572-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754553261",
            "telephone_number": "903-572-1128",
            "fax_number": "903-572-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURRUM CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "DURRUM",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "903-572-1128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.