DURHAM CHIROPRACTIC (NPI# 1548669872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548669872 |
| Entity Type | Organization |
| Organization Name | DURHAM CHIROPRACTIC |
| Practice Address |
25 Corporate Blvd Jackson TN 38305-2314 |
| Practice Telephone | 7316642929 |
| Mailing Telephone | 7316642929 |
| Mailing Fax Number | 7316647555 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Authorized Official Name | DR. JOEL W. DURHAM (OWNER CHIROPRACTOR) |
| Authorized Official Telephone | 7316642929 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2632 | TN | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 467 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PTAN | 103I353876 | 01 |
| TN | PTAN | 3676936 | 01 |
| Street Address |
25 CORPORATE BLVD |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710949722 | Joel W Durham | Chiropractor | 25 Corporate Blvd, Jackson, TN 38305-2314 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1083245617 | Annette Marie Bennett | Chiropractor | 3322 Francis St, Jackson, MI 49203-5051 | 2020-02-02 |
| 1023507746 | Jeremy Leumun, Marquis Coleman | Chiropractor | 5295 Galaxie Dr Ste C, Jackson, MS 39206-4337 | 2018-05-08 |
| 1104327493 | Mack Chiropractic | Chiropractor | 2298 Springport Rd Ste A, Jackson, MI 49202-1475 | 2018-02-22 |
| 1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1407361355 | Laura Peterson Wright | Chiropractor | 1325 S Hwy 89 Apt 108, Jackson, WY 83001-8293 | 2017-12-13 |
| 1760993935 | John C. Beckwith | Chiropractor | 1804 N State St, Jackson, MS 39202-1146 | 2017-10-16 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.