Organization Active NPI

Berger Family Chiropractic LLC

  • Chiropractor
  • Dickinson, ND
National Provider Identifier
1770854200
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
896 Issued in ND
Legal business name
BERGER FAMILY CHIROPRACTIC LLC
Practice address
745 State Ave Ste a
Dickinson, ND 58601-4661
Phone
(701) 483-0800
Fax
(701) 483-7181
NPI assigned
Jan 13, 2012
Last updated
Jan 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Dr. Shawn Michael Berger, D.C.NPI 1215206834
Title
Owner
Phone
(701) 483-0800

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 896 ND Primary

Addresses

Primary practice location

745 State Ave Ste a
Dickinson, ND 58601-4661

Mailing address

745 State Ave Ste a
Dickinson, ND 58601-4661
Phone (701) 483-0800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120123000001 ND Part B Supplier - Clinic/Group Practice 1456528090 Receives reassigned benefits from 1 practitioner
Practice locations: Dickinson, ND

National Provider Directory

National Provider Directory

Locations

745 State Ave
Ste A
Dickinson, ND 58601
Phone (701) 483-0800

Practitioners & affiliated clinicians

Practitioners 1

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": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327276800000",
    "number": "1770854200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 STATE AVE STE A",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014661",
            "telephone_number": "701-483-0800",
            "fax_number": "701-483-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 STATE AVE STE A",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014661",
            "telephone_number": "701-483-0800",
            "fax_number": "701-483-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-23",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-483-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.