Active NPI
Matthew David Berry, D.C.
- Chiropractor
- Weston, FL
National Provider Identifier
1659624781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 10716
- Practice address
- 1352 SW 160TH Avenue
Weston, FL 33326-1908 - Phone
- (954) 384-0245
- Fax
- (954) 384-8241
- NPI assigned
- Oct 26, 2012
- 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 | 10716 | FL | Primary |
Addresses
Primary practice location
1352 SW 160TH Avenue
Weston, FL 33326-1908
Mailing address
1352 SW 160TH Avenue
Weston, FL 33326-1908
Phone (954) 384-0245
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10716 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1659624781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1352 SW 160TH AVENUE",
"city": "WESTON",
"state": "FL",
"postal_code": "333261908",
"telephone_number": "954-384-0245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1352 SW 160TH AVENUE",
"city": "WESTON",
"state": "FL",
"postal_code": "333261908",
"telephone_number": "954-384-0245",
"fax_number": "954-384-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-26",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "10716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.