Active NPI
Dennis Gordon Berry, DC
- Chiropractor
- Walla Walla, WA
National Provider Identifier
1457554867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1062
- Practice address
- 26 E Main St
Suite 2
Walla Walla, WA 99362-1957 - Phone
- (509) 520-2558
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1062 | WA | Primary |
Addresses
Primary practice location
26 E Main St
Suite 2
Walla Walla, WA 99362-1957
Mailing address
26 E Main St
Suite 2
Walla Walla, WA 99362-1957
Phone (509) 520-2558
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457554867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 E MAIN ST",
"address_2": "SUITE 2",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993621957",
"telephone_number": "509-520-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 E MAIN ST",
"address_2": "SUITE 2",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993621957",
"telephone_number": "509-520-2558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DENNIS",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "1062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.