Christian Tyler Berendes, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14842 Issued in FL

Practice address

120 Horseshoe Loop Rd
Terra Ceia, FL 34250

Phone

(727) 773-5532

NPI assigned

Jan 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Tampa Spine and Joint Center LLCGroup PAC ID 2365581311, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• FL PPO

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.

• North Tampa Spine & Joint Center LLC

  • Rehabilitation Chiropractor
  • Tampa, FL
  • NPI 1851624456
  Medicare reassignment Care Compare group NPD
• Contemporary Chiropractic Care, Inc.

  • Chiropractor
  • Sarasota, FL
  • NPI 1114973658
  NPD

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1023889748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "TERRA CEIA",
            "state": "FL",
            "postal_code": "342500187",
            "telephone_number": "727-773-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HORSESHOE LOOP RD",
            "city": "TERRA CEIA",
            "state": "FL",
            "postal_code": "34250",
            "telephone_number": "727-773-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENDES",
        "first_name": "CHRISTIAN",
        "middle_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Villarroel Chachula, PH.D. (ABD)
• Constellationshealthllc
• Sandra Jenks, MSCCC/SLP
• Si Tang, PHARMD

• Chiropractor in Terra Ceia, FL
• Providers in Terra Ceia, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.