DR. DAVID GRANT DURHAM (NPI# 1609970151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609970151 |
| Entity Type | Individual |
| Full Name | DR. DAVID GRANT DURHAM |
| Credential | D.C. |
| Practice Address |
2175 Route 29 North Edinburg IL 62531 |
| Mailing Address |
2175 Route 29 North P.o. Box 303 Edinburg IL 62531 |
| Practice Telephone | 2176234505 |
| Practice Fax Number | 2176234506 |
| Mailing Telephone | 2176234505 |
| Mailing Fax Number | 2176234506 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-010457 | IA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 95-0-A1-5058-0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1942206842 | David Joe Durham | Physical Therapist | 7496 Lee Davis Rd, Ste 19, Mechanicsville, VA 23111-3678 | 2005-06-24 |
| 1730408667 | David Lewis Durham | Dentist | 11540 Midlothian Tpke, North Chesterfield, VA 23235-4747 | 2010-05-17 |
| 1326264623 | David B Durham | Psychiatry & Neurology | 8210 Louisiana Blvd. Ne, Suite C, Albuquerque, NM 87113-1761 | 2007-04-17 |
| 1881717767 | David Jonathan Durham | Prosthetist | 2221 E Race Ave, Searcy, AR 72143-4727 | 2007-04-07 |
| 1275672230 | David Allen Durham | Dentist | 10000 Watson Rd, A, Saint Louis, MO 63126-1854 | 2007-02-06 |
| Street Address |
2175 ROUTE 29 NORTH |
| City | EDINBURG |
| State | IL |
| Zip Code | 62531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750452793 | Durham Chiropractic, P.C. | Chiropractor | 2175 Route 29 North, Edinburg, IL 62531 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649410689 | Deborah Ann Durham | Dietitian, Registered | 2175 Il Route 29, Edinburg, IL 62531-8291 | 2009-03-04 |
| 1114549979 | Casey Smith | Student in an Organized Health Care Education/Training Program | 2 Sunnyside Acres, Edinburg, IL 62531-9407 | 2020-05-14 |
| 1609036433 | Edinburg Community Unit School Dist. #4 | Local Education Agency (LEA) | 100 E Martin St, Edinburg, IL 62531-9713 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841301 | D&z Primary Home Care, LLC. | Technician | 2808 E Pauline Ln, Edinburg, TX 78542-2101 | 2020-11-05 |
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1598366791 | Erich Wittmer | Specialist/Technologist, Other | 2301 Links Dr, Edinburg, TX 78542-4542 | 2020-11-04 |
| 1346849643 | Rgvmeds Pharmacy LLC | Pharmacy | 2606 E Richardson Rd, Edinburg, TX 78542 | 2020-10-19 |
| 1215535448 | Kikelomo Peters | Pharmacist | 4107 Crosspoint Blvd Ste B, Edinburg, TX 78539-1805 | 2020-10-09 |
| 1982219366 | Violeta Karina Velasco | Nurse Practitioner | 5716 Premiere Ln, Edinburg, TX 78542-1931 | 2020-09-11 |
| 1912519646 | Oswaldo Ozuna | Nurse Practitioner | 518 E Peter St, Edinburg, TX 78541-3459 | 2020-08-24 |
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1093326092 | Claudia Denice Martinez Ortiz | Family Medicine | 1816 Red River Ave, Edinburg, TX 78539-0277 | 2020-08-12 |
| 1740891936 | University of Texas Rio Grande Valley | Clinical Medical Laboratory | 1214 W Schunior St Bldg 2.318, Edinburg, TX 78541-2337 | 2020-08-12 |
| Find all providers in EDINBURG | ||||
| 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 |
|---|---|---|---|---|
| 1861875783 | Genaro Garza IIi | Chiropractor | 2906 Hackberry Ln, Edinburg, TX 78539-7824 | 2015-07-09 |
| 1801290374 | Myron Foster | Chiropractor | 5307 S Mccoll Rd, Edinburg, TX 78539-9168 | 2014-10-13 |
| 1730435678 | Donald J. Ammon, Jr | Chiropractor | 715 Elizabeth Moya St, Edinburg, TX 78542-0318 | 2012-07-30 |
| 1750640181 | Tremon LLC | Chiropractor | 3203 W Alberta Rd, Edinburg, TX 78539-9635 | 2012-05-04 |
| 1700060738 | Stoneridge Physical Rehabilitation Center, Inc | Chiropractor | 4752 S. Jackson Rd, Edinburg, TX 78539 | 2007-12-27 |
| 1831231984 | Benjamin Neil Barnett | Chiropractor | 4752 S Jackson Rd, Edinburg, TX 78539-6199 | 2007-02-13 |
| 1255418638 | Omar Paul Vela | Chiropractor | 1011 S Closner Blvd, Edinburg, TX 78539-5659 | 2006-11-01 |
| 1033294244 | Jon Paul Patterson | Chiropractor | 1011 S Closner, Edinburg, TX 78539-5659 | 2006-10-26 |
| 1073508545 | Monzer H Yazji Md & Associates Pa | Chiropractor | 502 S Closner Blvd, Edinburg, TX 78539-4660 | 2005-09-12 |
| 1780682997 | Valley Spine Medical Center, Pa | Chiropractor | 5327 S Mccoll Rd, Edinburg, TX 78539-9168 | 2005-07-12 |
| Find all providers in EDINBURG | ||||
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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.