Individual provider Active NPI

Caleb Anthony Durenberger, D.C.

  • Chiropractor
  • Hinsdale, IL
National Provider Identifier
1124463617
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012418 Issued in IL
Practice address
18 W First St
Hinsdale, IL 60521-4173
Phone
(612) 965-8892
NPI assigned
May 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 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 038012418 IL Primary

Addresses

Primary practice location

18 W First St
Hinsdale, IL 60521-4173

Mailing address

910 Curtiss St
9
Downers Grove, IL 60515-4754
Phone (612) 965-8892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038012418ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1124463617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CURTISS ST",
            "address_2": "9",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154754",
            "telephone_number": "612-965-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W FIRST ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214173",
            "telephone_number": "612-965-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURENBERGER",
        "first_name": "CALEB",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.