Organization Active NPI

Rosenburg Chiropractic, LLC

  • Chiropractor
  • Greenville, IL
National Provider Identifier
1871328658
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROSENBURG CHIROPRACTIC, LLC
Practice address
203 E Main St
Greenville, IL 62246-1810
Phone
(618) 979-3008
NPI assigned
Sep 3, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dustin Rosenburg, DCNPI 1407187875
Title
Owner
Phone
(618) 979-3008

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 Primary

Addresses

Primary practice location

203 E Main St
Greenville, IL 62246-1810

Mailing address

508 Dakotah
Saint Jacob, IL 62281-1563
Phone (618) 979-3008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021000023 IL Part B Supplier - Clinic/Group Practice 0648702357 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Carbon, IL

National Provider Directory

National Provider Directory

Locations

203 E Main St
Greenville, IL 62246
Phone (618) 339-3614

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1871328658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DAKOTAH",
            "city": "SAINT JACOB",
            "state": "IL",
            "postal_code": "622811563",
            "telephone_number": "618-979-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E MAIN ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461810",
            "telephone_number": "618-979-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENBURG CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBURG",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-979-3008",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.