Mary C. Berry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4094 Issued in MN

Practice address

31835 124TH St
Suite a
Princeton, MN 55371-3316

Phone

(763) 631-3070

NPI assigned

Nov 24, 2006

Last updated

Jun 8, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, MN2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Complete Health PC

  • Chiropractor
  • Bemidji, MN
  • NPI 1063176790
  NPD (past)
• Dr. Paul Kuiken Chiropractic PA

  dba Aitkin Family Chiropractic Office

  • Health Service Clinic/Center
  • Aitkin, MN
  • NPI 1982886800

  Chiropractor

  NPD (past)
• Awareness Chiropractic LLC

  • Chiropractor
  • Colleyville, TX
  • NPI 1427624766
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1093881989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553710095",
            "telephone_number": "763-631-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31835 124TH ST",
            "address_2": "SUITE A",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553713316",
            "telephone_number": "763-631-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "MARY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4094",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "520082200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Bartheld, LADC
• Alex M. Basara, M.D.
• Linda M Baumann, CNP
• Robert Charles Beattie, DDS
• Cierra Beckerleg, M.S. SLP
• Better Mental Health, PC
• Thomas J Blankenship, MD
• Renna Kay Blavat, MPT
• Alexandra Blonigen, BA, LADC
• Kim Boedigheimer, C.M.T.

• Chiropractor in Princeton, MN
• Providers in Princeton, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.