Active NPI
Cheryl Berry, DC
- Chiropractor
- Kent, WA
National Provider Identifier
1720115652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00033769
- Practice address
- 26461 104TH Ave SE
Kent, WA 98030-7668 - Phone
- (253) 852-4532
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | CH00033769 | WA | Primary |
Addresses
Primary practice location
26461 104TH Ave SE
Kent, WA 98030-7668
Mailing address
26461 104TH Ave SE
Kent, WA 98030-7668
Phone (253) 852-4532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110001032 | WA | Practitioner - Chiropractic | 5193748648 | Practice locations: Black Diamond, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
26461 104TH Ave SE
Kent, WA 98030-7668
30741 3Rd Ave
Suite 162
Black Diamond, WA 98010-9791
Phone (253) 852-4532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1720115652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26461 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980307668",
"telephone_number": "253-852-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26461 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980307668",
"telephone_number": "253-852-4532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "CHERYL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00033769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.