Individual provider Active NPI

Dustin William Durbin, D.C.

  • Chiropractor
  • Peoria, IL
National Provider Identifier
1063547248
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010466 Issued in IL
Practice address
8305 N Allen Rd
Suite 7
Peoria, IL 61615-1815
Phone
(309) 692-2121
Fax
(309) 692-4747
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010466 IL Primary

Addresses

Primary practice location

8305 N Allen Rd
Suite 7
Peoria, IL 61615-1815

Mailing address

8305 N Allen Rd
Suite 7
Peoria, IL 61615-1815
Phone (309) 692-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000776 IL Practitioner - Chiropractic 2567487606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Peoria Physical Medicine and RehabGroup PAC ID 5294795472, 3 clinicians

Practice addresses (Care Compare)

5001 N University St
Suite a
Peoria, IL 61614-6300
Phone (309) 693-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3741OHMDHealth Service Psychologist
038-010466ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph & Hishon Integrated Health Center LTD CurrentSince Feb 9, 2023 Accepting new patients
Greater Peoria Physical Medicine & Rehab Chiropractor CurrentSince Feb 9, 2023 Accepting new patients
Family Chiropractic Center, Inc. Chiropractor PastSince Jul 11, 2013 Accepting new patients
Mark K Werking, DC, SC Chiropractor Past Accepting new patients
Kaufman Wellness Center, LTD Chiropractor PastSince Aug 31, 2018 Accepting new patients
Sequoia Chiropractic Inc Chiropractor Past Accepting new patients
JD Nimrick PC Past Accepting new patients

Locations

5001 N University St
Ste A
Peoria, IL 61614
Phone (309) 683-3072

Organizations & group practices 7

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1063547248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 N ALLEN RD",
            "address_2": "SUITE 7",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151815",
            "telephone_number": "309-692-2121",
            "fax_number": "309-692-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 N ALLEN RD",
            "address_2": "SUITE 7",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151815",
            "telephone_number": "309-692-2121",
            "fax_number": "309-692-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "DUSTIN",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.