Dustin Clark Rosenburg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011595 Issued in IL

Practice address

8 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502

Phone

(618) 979-3008

Fax

(618) 664-1898

NPI assigned

Jan 24, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rosenburg Chiropractic, LLC

  • Chiropractor
  • Greenville, IL
  • NPI 1871328658
  Medicare reassignment NPD Authorized official
• Integrated Medical Group LTD

  • Chiropractor
  • Edwardsville, IL
  • NPI 1487750691
  Medicare reassignment NPD
• Dynamic Spine and Joint Center LLC

  • Chiropractor
  • Granite City, IL
  • NPI 1578860664
  NPD (past)

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1407187875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 MARYVILLE RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402644",
            "telephone_number": "618-931-3100",
            "fax_number": "618-931-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GINGER CREEK PKWY",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343502",
            "telephone_number": "618-979-3008",
            "fax_number": "618-664-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBURG",
        "first_name": "DUSTIN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-24",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Gail Rodgers
• Rodney L Bailey, DMD, PC
• Katie Roemer, LPC
• Graciela Romo
• Roots & Wings Pediatric Therapy
• Abby Michelle Roth
• Bruce E Rotter, D.M.D.
• Samantha Rowe
• Zabree Marie Russell
• Leah Rutenberg, LCPC

• Chiropractor in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.