Organization Active NPI

Ken R Krebs DN DC LTD

  • Chiropractor
  • Hinsdale, IL
National Provider Identifier
1336213412
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006896 Issued in IL
Legal business name
KEN R KREBS DN DC LTD
Practice address
930 North York Road
Suite 100
Hinsdale, IL 60521
Phone
(708) 354-7344
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Dr. Ken R Krebs, DN DCNPI 1376715847
Title
Owner
Phone
(708) 354-7344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038006896 IL Primary

Addresses

Primary practice location

930 North York Road
Suite 100
Hinsdale, IL 60521

Mailing address

930 North York Road
Suite 100
Hinsdale, IL 60521
Phone (708) 354-7344

Other identifiers 1

IdentifierTypeStateIssuer
01683000OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

140 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-7344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1336213412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 NORTH YORK ROAD",
            "address_2": "SUITE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "708-354-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 NORTH YORK ROAD",
            "address_2": "SUITE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "60521",
            "telephone_number": "708-354-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN R KREBS DN DC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "KREBS",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-354-7344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01683000",
            "state": "IL"
        }
    ],
    "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 Mar 10, 2023; 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.