Berry Family Chiropractic PS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034186 Issued in WA

Legal business name

BERRY FAMILY CHIROPRACTIC PS

Practice address

18710 Meridian E
Ste 116
Puyallup, WA 98375-2231

Phone

(253) 875-9464

Fax

(253) 875-9468

NPI assigned

Dec 22, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Douglas D Berry Jr., D.C.

Title

President

Phone

(253) 875-9464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taylor L Sloan, DC

  • Chiropractor
  • Puyallup, WA
  • NPI 1730721275
  Medicare reassignment Care Compare group
• Kimberly Anne Williamson, DC

  • Chiropractor
  • Puyallup, WA
  • NPI 1003683293
  Medicare reassignment Care Compare group
• Jesse Ryan Thibert, LMT

  • Massage Therapist
  • Puyallup, WA
  • NPI 1215797899
  NPD
• Martin Alejandro Carrillo

  • Chiropractor
  • Des Moines, WA
  • NPI 1376319244
  NPD (past)
• Jovante Auli I Lani O Ka Mik Guerra, LMT

  • Massage Therapist
  • Puyallup, WA
  • NPI 1013574763

  Single Specialty

  NPD (past)
• Kimberly Dawn Knutson, LMP

  • Massage Therapist
  • Puyallup, WA
  • NPI 1306260179
  NPD (past)
• Sophia Marie Rock, LMT

  • Massage Therapist
  • Puyallup, WA
  • NPI 1457205023

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1124357157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E",
            "address_2": "SUITE 116",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-875-9464",
            "fax_number": "253-875-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18710 MERIDIAN E",
            "address_2": "STE 116",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983752231",
            "telephone_number": "253-875-9464",
            "fax_number": "253-875-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY FAMILY CHIROPRACTIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-875-9464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Thomas Berdan, DO
• Alta Faye Berg, MA
• Lucretia Ann Berg, MSOT, OTR/L
• Nora Faye Berge, SLPA
• Danielle Marie Bergman, OT
• Mattye L. Berry-Evans
• Jennifer Lynn Berry, RPH
• Emily D Bertani, MD
• Breinn Ashley Bertrand, DDS
• Best Friends Senior Services

• Chiropractor in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.