Organization Active NPI

Durham Chiropractic Acupuncture Clinic PC

  • Chiropractor
  • Winston Salem, NC
National Provider Identifier
1922167238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2689 Issued in NC
Legal business name
DURHAM CHIROPRACTIC ACUPUNCTURE CLINIC PC
Practice address
5201 Silas Creek Pkwy
Winston Salem, NC 27106-5526
Phone
(336) 765-7620
Fax
(336) 765-3801
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cynthia Sutton Durham, D.C.
Title
President
Phone
(336) 765-7620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2689 NC Primary

Addresses

Primary practice location

5201 Silas Creek Pkwy
Winston Salem, NC 27106-5526

Mailing address

5201 Silas Creek Pkwy
Winston Salem, NC 27106-5526
Phone (336) 765-7620

Other identifiers 5

IdentifierTypeStateIssuer
33110OtherNCPARTNERS
890839TMedicaidNC
0839TOtherNCBCBS
607887OtherNCACN-UNITED HEALTHCARE-CIG
5177056OtherNCAETNA

National Provider Directory

National Provider Directory

Locations

5201 Silas Creek Pkwy
Winston Salem, NC 27106
Phone (336) 765-7620

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922167238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065526",
            "telephone_number": "336-765-7620",
            "fax_number": "336-765-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065526",
            "telephone_number": "336-765-7620",
            "fax_number": "336-765-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM CHIROPRACTIC ACUPUNCTURE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "SUTTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-765-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "33110",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890839T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0839T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN-UNITED HEALTHCARE-CIG",
            "identifier": "607887",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5177056",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.