Individual provider Active NPI

Craig Andrew Tiburzi, D.C.

  • Chiropractor
  • Carlinville, IL
National Provider Identifier
1780684233
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010013 Issued in IL
Practice address
130 Carlinville PLZ
Carlinville, IL 62626-1191
Phone
(217) 854-8001
Fax
(217) 854-3440
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010013 IL Primary

Addresses

Primary practice location

130 Carlinville PLZ
Carlinville, IL 62626-1191

Mailing address

110 E 1St North St
Carlinville, IL 62626-1505
Phone (217) 854-8001

Other identifiers 3

IdentifierTypeStateIssuer
5932018OtherILBLUE CROSS BLUE SHIELD ID
P00184408OtherILRAILROAD MEDICARE ID
632998OtherILHEALTHLINK PPO ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000324 IL Practitioner - Chiropractic 1850385832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 E 1St N St
Carlinville, IL 62626-1505
Phone (217) 854-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010013ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburzi Chiropractic P.C. Chiropractor CurrentSince Jan 1, 2004 Accepting new patients
The Spinal Decompression Center Chiropractor Past Accepting new patients

Locations

130 Carlinville Plz
Carlinville, IL 62626
Phone (217) 854-8001

110 E 1st North St
Carlinville, IL 62626
Phone (217) 854-3300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780684233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 1ST NORTH ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261505",
            "telephone_number": "217-854-8001",
            "fax_number": "217-854-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CARLINVILLE PLZ",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261191",
            "telephone_number": "217-854-8001",
            "fax_number": "217-854-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBURZI",
        "first_name": "CRAIG",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "5932018",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00184408",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PPO ID",
            "identifier": "632998",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.