Organization Active NPI

Edward H Washington Jr

  • Chiropractor
  • Durham, NC
National Provider Identifier
1992871313
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1303 Issued in NC
Legal business name
EDWARD H WASHINGTON JR
Practice address
922 Broad St
Ste D
Durham, NC 27705-4147
Phone
(919) 286-9430
Fax
(919) 286-3624
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Edward Holt Washington Jr., D. C.
Title
Owner
Phone
(919) 286-9430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1303 NC Primary

Addresses

Primary practice location

922 Broad St
Ste D
Durham, NC 27705-4147

Mailing address

PO Box 2172
Durham, NC 27702-2172
Phone (919) 286-9430

Other identifiers 1

IdentifierTypeStateIssuer
8908909MedicaidNC

National Provider Directory

National Provider Directory

Locations

603 Broad St
Durham, NC 27705
Phone (919) 286-9430

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1992871313",
    "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": "919-128-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 BROAD ST",
            "address_2": "STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054147",
            "telephone_number": "919-286-9430",
            "fax_number": "919-286-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H WASHINGTON JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HOLT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-286-9430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908909",
            "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 Mar 13, 2008; 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.