Individual provider Active NPI

Sydney Berger, DC

  • Chiropractor
  • Jasper, IN
National Provider Identifier
1629665609
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008300 Issued in CO
Practice address
4195 Mannheim Rd
Jasper, IN 47546-9625
Phone
(812) 634-6000
NPI assigned
Dec 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHR.0008300 CO Primary

Addresses

Primary practice location

4195 Mannheim Rd
Jasper, IN 47546-9625

Mailing address

991 Hochgesang Ave
Jasper, IN 47546-3918
Phone (812) 634-9470

Other practice location 1

10693 Melody Dr
Northglenn, CO 80234-4113
Phone (303) 955-5994

Other practice location 2

3801 Osage St
Denver, CO 80211-2656
Phone (303) 955-5994

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

LicenseStateTypeSpecialty
CHR.0008300COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mundy Chiropractic, LLC Chiropractor CurrentSince Mar 28, 2021 Accepting new patients
Denver Sport and Spine Inc PastSince Dec 1, 2020 Accepting new patients

Locations

4195 Mannheim Rd
Jasper, IN 47546
Phone (812) 634-6000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1629665609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 HOCHGESANG AVE",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463918",
            "telephone_number": "812-634-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 MANNHEIM RD",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469625",
            "telephone_number": "812-634-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10693 Melody Dr",
            "address_purpose": "LOCATION",
            "city": "Northglenn",
            "state": "CO",
            "postal_code": "802344113",
            "country_code": "US",
            "telephone_number": "303-955-5994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Osage St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802112656",
            "country_code": "US",
            "telephone_number": "303-955-5994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "SYDNEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.