Individual provider Active NPI

Linda Susan Berry, D.C.

  • Chiropractor
  • Pinckney, MI
National Provider Identifier
1295767127
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LB005259 Issued in MI
Practice address
4066 Proceeds Dr
Pinckney, MI 48169-8251
Phone
(734) 646-0664
NPI assigned
Jul 7, 2006
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X LB005259 MI Primary

Addresses

Primary practice location

4066 Proceeds Dr
Pinckney, MI 48169-8251

Mailing address

4066 Proceeds Dr
Pinckney, MI 48169-8251
Phone (734) 646-0664

Other identifiers 2

IdentifierTypeStateIssuer
LB005259OtherMISTATE LICENSE #
950H112630OtherMIBCBS PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001050 MI Practitioner - Chiropractic 0840274171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LB005259MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Chiropractic & Massage Therapy, PLC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

2020 Hogback Rd
Ste 7
Ann Arbor, MI 48105
Phone (734) 677-1900

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1295767127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 PROCEEDS DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698251",
            "telephone_number": "734-646-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 PROCEEDS DR",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481698251",
            "telephone_number": "734-646-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "LINDA",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "LB005259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "LB005259",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "950H112630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckney, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.