Individual provider Active NPI

Ryan Thomas Berlin, DC

  • Chiropractor
  • West Chester, OH
National Provider Identifier
1083857692
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3959 Issued in OH
Practice address
7341 Tylers Corner Dr
West Chester, OH 45069-6327
Phone
(513) 777-7575
NPI assigned
Apr 13, 2009
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3959 OH Primary

Addresses

Primary practice location

7341 Tylers Corner Dr
West Chester, OH 45069-6327

Mailing address

7341 Tylers Corner Dr
West Chester, OH 45069-6327
Phone (513) 777-7575

Other practice location 1

7341 Tylers Corner Dr
West Chester, OH 45069-6327
Phone (513) 777-7575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130719000707 OH Practitioner - Chiropractic 5698916492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7341 Tylers Corner Dr
West Chester, OH 45069-6327
Phone (513) 777-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3959OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Align Chiropractic LLC Chiropractor CurrentSince Jun 17, 2013 Accepting new patients

Locations

7341 Tylers Corner Dr
West Chester, OH 45069
Phone (513) 777-7575

8039 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 777-7575

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1083857692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7341 TYLERS CORNER DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696327",
            "telephone_number": "513-777-7575",
            "fax_number": "888-959-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 TYLERS CORNER DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696327",
            "telephone_number": "513-777-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7341 Tylers Corner Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450696327",
            "country_code": "US",
            "telephone_number": "513-777-7575",
            "fax_number": "888-959-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2024-01-03",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

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