Organization Active NPI

Clifty Falls Chiropractic Center, P.S.C.

  • Chiropractor
  • Madison, IN
National Provider Identifier
1700919834
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001646 Issued in IN
Legal business name
CLIFTY FALLS CHIROPRACTIC CENTER, P.S.C.
Practice address
2432 Clifty Dr
Madison, IN 47250-1636
Phone
(812) 265-1000
Fax
(812) 265-6994
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric J Berseth, D.C.NPI 1003904210
Title
Chiropractor
Phone
(812) 265-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001646 IN Primary

Addresses

Primary practice location

2432 Clifty Dr
Madison, IN 47250-1636

Mailing address

PO Box 902
Madison, IN 47250-0902
Phone (812) 265-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140402002189 IN Part B Supplier - Clinic/Group Practice 5193919462 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, IN

National Provider Directory

National Provider Directory

Locations

2432 Clifty Dr
Madison, IN 47250
Phone (812) 265-1000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700919834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472500902",
            "telephone_number": "812-265-1000",
            "fax_number": "812-265-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501636",
            "telephone_number": "812-265-1000",
            "fax_number": "812-265-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTY FALLS CHIROPRACTIC CENTER, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERSETH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "812-265-1000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.