Active NPI
Haiden D Berube
- Chiropractor
- Winter Garden, FL
National Provider Identifier
1134875214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH13955
- Practice address
- 15859 Citrus Grove Loop
Winter Garden, FL 34787-9462 - Phone
- (517) 610-3414
- NPI assigned
- Feb 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH13955 | FL | Primary |
Addresses
Primary practice location
15859 Citrus Grove Loop
Winter Garden, FL 34787-9462
Mailing address
15859 Citrus Grove Loop
Winter Garden, FL 34787-9462
Phone (517) 610-3414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH13955 | FL | MD | Chiropractor |
Interoperability endpoints
- haiden.berube@cccl.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645920000000",
"number": "1134875214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15859 CITRUS GROVE LOOP",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879462",
"telephone_number": "517-610-3414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15859 CITRUS GROVE LOOP",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879462",
"telephone_number": "517-610-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "HAIDEN",
"middle_name": "D",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-27",
"last_updated": "2022-02-27",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH13955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.