Individual provider Active NPI

David Krueger, DC

  • Chiropractor
  • Burr Ridge, IL
National Provider Identifier
1841317310
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009053 Issued in IL
Practice address
7410 Forest Hill Rd
Burr Ridge, IL 60527-7712
Phone
(773) 383-7590
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009053 IL Primary

Addresses

Primary practice location

7410 Forest Hill Rd
Burr Ridge, IL 60527-7712

Mailing address

7410 Forest Hill Rd
Burr Ridge, IL 60527-7712
Phone (773) 383-7590

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000181 IL Practitioner - Chiropractic 7719939818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Health Chiropractic Clinic IncGroup PAC ID 2365689544, 2 clinicians

Practice addresses (Care Compare)

700 E Ogden Ave
Suite 105
Westmont, IL 60559-1283
Phone (630) 968-4027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health Chiropractic Clinic Inc. Chiropractor CurrentSince Feb 1, 2013 Accepting new patients

Locations

700 E Ogden Ave
Ste 105
Westmont, IL 60559
Phone (630) 968-4027

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1841317310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 FOREST HILL RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277712",
            "telephone_number": "773-383-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 FOREST HILL RD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277712",
            "telephone_number": "773-383-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.