Justin J Berlin DC PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009162 Issued in MI

Legal business name

JUSTIN J BERLIN DC PLC

Doing business as

Delta Chiropractic Clinic

Practice address

1136 S Rochester Rd Ste B
Rochester Hills, MI 48307-3117

Phone

(248) 963-8181

NPI assigned

Nov 30, 2006

Last updated

Sep 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin J Berlin, DCNPI 1487660395

Title

President

Phone

(248) 835-5727

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Delta Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Justin Joseph Berlin, D.C.

  • Chiropractor
  • Troy, MI
  • NPI 1487660395
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Michael Bieszki, D.C.

  • Chiropractor
  • Rochester Hills, MI
  • NPI 1609254622
  Medicare reassignment Care Compare group NPD
• Mark Hess, DC

  • Chiropractor
  • Troy, MI
  • NPI 1316709595
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1639246960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 S ROCHESTER RD STE B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073117",
            "telephone_number": "248-963-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 S ROCHESTER RD STE B",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073117",
            "telephone_number": "248-963-8181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5909 John R Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480853867",
            "country_code": "US",
            "telephone_number": "248-879-5540",
            "fax_number": "248-879-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUSTIN J BERLIN DC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-835-5727",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN#",
            "identifier": "950F334880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.