NPIMap

Organization Active NPI

Endurance Chiropractic Corp

  • Chiropractor
  • Glen Ellyn, IL
National Provider Identifier
1386084473
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012355 Issued in IL
Legal business name
ENDURANCE CHIROPRACTIC CORP
Practice address
386 Pennsylvania Ave
Suite 1
Glen Ellyn, IL 60137-4323
Phone
(608) 921-8300
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Dr. Daniel James Albright, D.C.NPI 1144561606
Title
President
Phone
(608) 921-8300

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 038012355 IL Primary

Addresses

Primary practice location

386 Pennsylvania Ave
Suite 1
Glen Ellyn, IL 60137-4323

Mailing address

3S135 Park Blvd
Glen Ellyn, IL 60137-7232
Phone (608) 921-8300

National Provider Directory

National Provider Directory

Locations

386 Pennsylvania Ave
Ste 1
Glen Ellyn, IL 60137
Phone (608) 921-8300

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": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1386084473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3S135 PARK BLVD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601377232",
            "telephone_number": "608-921-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 PENNSYLVANIA AVE",
            "address_2": "SUITE 1",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374323",
            "telephone_number": "608-921-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDURANCE CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-921-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.