Active NPI
Edward Holt Washington Jr., D. C.
- Chiropractor
- Durham, NC
National Provider Identifier
1932275344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1303
- Practice address
- 623 Broad St
Durham, NC 27705-4832 - Phone
- (919) 286-9430
- Fax
- (919) 286-3624
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1303 | NC | Primary |
Addresses
Primary practice location
623 Broad St
Durham, NC 27705-4832
Mailing address
PO Box 2172
Durham, NC 27702-2172
Phone (919) 286-9430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244373C | Other | NC | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
623 Broad St
Durham, NC 27705-4832
Phone (919) 286-9430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1303 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Edward H. Washington Jr. PLLC | Chiropractor | Current | Accepting new patients |
Locations
6011 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 484-1184
623 Broad St
Durham, NC 27705
Phone (919) 286-9430
Organizations & group practices 1
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.
-
- Chiropractor
- Durham, NC
- NPI 1912395625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1932275344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2172",
"city": "DURHAM",
"state": "NC",
"postal_code": "277022172",
"telephone_number": "919-286-9430",
"fax_number": "919-286-3624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 BROAD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054832",
"telephone_number": "919-286-9430",
"fax_number": "919-286-3624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "EDWARD",
"middle_name": "HOLT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D. C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "244373C",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.