Active NPI
Austin David Hibner, DC
- Chiropractor
- Bloomingdale, IL
National Provider Identifier
1710445382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013534
- Practice address
- 366 W Army Trail Rd
Bloomingdale, IL 60108-5601 - Phone
- (630) 351-1071
- NPI assigned
- Mar 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010784 | MI | |
| Chiropractor | 111N00000X | 038013534 | IL | Primary |
Addresses
Primary practice location
366 W Army Trail Rd
Bloomingdale, IL 60108-5601
Mailing address
PO Box 74008519 Chiro One 1006
Chicago, IL 60674-8519
Phone (630) 468-1824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
364 W Army Trail Rd
Suite 260
Bloomingdale, IL 60108-5603
Phone (630) 351-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038013534 | IL | MD | Chiropractor |
| 2301010784 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro One Wellness Center of Bloomingdale LLC | Chiropractor | Current | Accepting new patients |
Locations
364 W Army Trail Rd
Ste 260
Bloomingdale, IL 60108
Phone (630) 351-1071
Organizations & group practices 1
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.
-
- Chiropractor
- Bloomingdale, IL
- NPI 1821026899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1710445382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008519 CHIRO ONE 1006",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748519",
"telephone_number": "630-468-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 W ARMY TRAIL RD",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601085601",
"telephone_number": "630-351-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBNER",
"first_name": "AUSTIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-03",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010784",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038013534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.