Healthcare Provider Details

I. General information

NPI: 1568379782
Provider Name (Legal Business Name): JAMES DURBIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 W BERTRAND AVE
SAINT MARYS KS
66536-1620
US

IV. Provider business mailing address

506 W ELM ST
SAINT MARYS KS
66536-1352
US

V. Phone/Fax

Practice location:
  • Phone: 571-640-0966
  • Fax:
Mailing address:
  • Phone: 571-640-0966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number01-06481
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number01-06481
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: