Active NPI
Daniel A Berlin, DC
- Chiropractor
- Salt Lake City, UT
National Provider Identifier
1487862843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 289844-1202
- Practice address
- 4360 S Redwood Rd
# 3
Salt Lake City, UT 84123-2203 - Phone
- (801) 963-8750
- Fax
- (801) 967-2494
- NPI assigned
- May 18, 2007
- 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 | 289844-1202 | UT | Primary |
Addresses
Primary practice location
4360 S Redwood Rd
# 3
Salt Lake City, UT 84123-2203
Mailing address
4360 S Redwood Rd
Ste 3
Taylorsville, UT 84123-2204
Phone (801) 963-8750
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 |
|---|---|---|---|
| 289844-1202 | UT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1487862843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 S REDWOOD RD",
"address_2": "STE 3",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841232204",
"telephone_number": "801-963-8750",
"fax_number": "801-967-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 S REDWOOD RD",
"address_2": "# 3",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841232203",
"telephone_number": "801-963-8750",
"fax_number": "801-967-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLIN",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "289844-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.