Organization Active NPI

George D. Berki D.C., Inc.

Doing business as Avon Chiropractic Center

  • Chiropractor
  • Avon, OH
National Provider Identifier
1306127691
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2086 Issued in OH
Legal business name
GEORGE D. BERKI D.C., INC.
Doing business as
Avon Chiropractic Center
Practice address
36490 Detroit Rd
Avon, OH 44011-1590
Phone
(440) 934-2333
Fax
(440) 934-2344
NPI assigned
Aug 31, 2011
Last updated
Apr 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Dr. George David Berki II, DCNPI 1508949264
Title
Owner
Phone
(440) 934-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2086 OH Primary

Addresses

Primary practice location

36490 Detroit Rd
Avon, OH 44011-1590

Mailing address

36490 Detroit Rd
Avon, OH 44011-1590
Phone (440) 934-2333

Other names 1

  • Avon Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000825 OH Part B Supplier - Clinic/Group Practice 4486815594 Receives reassigned benefits from 1 practitioner
Practice locations: Avon, OH

National Provider Directory

National Provider Directory

Locations

36490 Detroit Rd
Avon, OH 44011
Phone (440) 934-2333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1306127691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36490 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111590",
            "telephone_number": "440-934-2333",
            "fax_number": "440-934-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36490 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111590",
            "telephone_number": "440-934-2333",
            "fax_number": "440-934-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D. BERKI D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "BERKI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-934-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avon Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.