NPIMap

Organization Active NPI

Berlin Chiropractic, Inc.

  • Chiropractor
  • Taylorsville, UT
National Provider Identifier
1003979329
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
289844-1202 Issued in UT
Legal business name
BERLIN CHIROPRACTIC, INC.
Practice address
4360 S Redwood Rd Ste 3
Taylorsville, UT 84123-2204
Phone
(801) 963-8750
Fax
(801) 967-2494
NPI assigned
Dec 18, 2006
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Daniel A. Berlin, D.C.NPI 1487862843
Title
Chiropractor
Phone
(801) 963-8750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 289844-1202 UT Primary

Addresses

Primary practice location

4360 S Redwood Rd Ste 3
Taylorsville, UT 84123-2204

Mailing address

4360 S Redwood Rd Ste 3
Taylorsville, UT 84123-2204
Phone (801) 963-8750

National Provider Directory

National Provider Directory

Locations

4360 S Redwood Rd
Ste 3
Taylorsville, UT 84123
Phone (801) 963-8750

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1003979329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 S REDWOOD RD STE 3",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232204",
            "telephone_number": "801-963-8750",
            "fax_number": "801-967-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 S REDWOOD RD STE 3",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841232204",
            "telephone_number": "801-963-8750",
            "fax_number": "801-967-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERLIN CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "801-963-8750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "289844-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.