James Dudum, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

32294 Issued in CA

Practice address

710 Grayson Rd
Pleasant Hill, CA 94523-2687

Phone

(925) 932-3289

NPI assigned

Jun 18, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dudum Chiropractic a Professional Corporation

  • Preferred Provider Organization
  • Walnut Creek, CA
  • NPI 1669802336
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1902169618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GRAYSON RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232687",
            "telephone_number": "925-932-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GRAYSON RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232687",
            "telephone_number": "925-932-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDUM",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32294",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "32294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Jue Dong, O.D.
• April Suzanne Doster, LCSW
• Kevin T Dowd, DDS
• Stephanie Baxter Downs
• John Michael Doyle, C.M.T.
• Jordan David Durrance, DC
• Jenyce Rae Dutcher
• Vincent Brian Dvorak
• Sarah Ellen Eapen, PA
• Earth and Air Wellness Acupuncture & Alternative Medicine Inc

• Sports Physician Chiropractor in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Sports Physician Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.