Individual provider Active NPI

Darrin Michael Redinger, D.C.

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1053510263
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38010445 Issued in IL
Practice address
275 N York St Ste 301
Suite 301
Elmhurst, IL 60126-2784
Phone
(630) 617-9790
Fax
(630) 559-1023
NPI assigned
Jul 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38010445 IL Primary

Addresses

Primary practice location

275 N York St Ste 301
Suite 301
Elmhurst, IL 60126-2784

Mailing address

275 N York Rd
Suite 301
Elmhurst, IL 60126-2766
Phone (630) 617-9790

Other identifiers 1

IdentifierTypeStateIssuer
038010445MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000290 IL Practitioner - Chiropractic 8224127840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Spinal Care,LTD.Group PAC ID 3870682495, 4 clinicians

Practice addresses (Care Compare)

275 N York St
Suite 301
Elmhurst, IL 60126-2784
Phone (630) 617-9790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38010445ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Spinal Care,LTD. Chiropractor CurrentSince Sep 15, 2007 Accepting new patients

Locations

275 N York St
Ste 301
Elmhurst, IL 60126
Phone (630) 617-9790

Interoperability endpoints

  • Direct secure messaging: dredinger@isc0001.direct.chirotouch.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1053510263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N YORK RD",
            "address_2": "SUITE 301",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262766",
            "telephone_number": "630-617-9790",
            "fax_number": "630-559-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N YORK ST STE 301",
            "address_2": "SUITE 301",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262784",
            "telephone_number": "630-617-9790",
            "fax_number": "630-559-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDINGER",
        "first_name": "DARRIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038010445",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.

Verify at the official NPI Registry.