Jessica Berlin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013646 Issued in NY

Practice address

142 Bemis St
Canandaigua, NY 14424-1503

Phone

(585) 394-2030

NPI assigned

Aug 24, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1801515630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BEMIS ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241503",
            "telephone_number": "585-394-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BEMIS ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241503",
            "telephone_number": "585-394-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedict F. Gullo, D.D.S.,P.C.
• Maggie Ruth Benham, DC
• Richard Benivegna, M.D.
• Daniel Bentz, PHARM.D
• Joseph Pascale Berley, MD
• Morgan Bessey, PA-C
• Tami Marie Best, MS, RD, CD-N
• Eric L Beyer, M.D.
• Kathryn Lynn Bibbens, RN
• Edward Joseph Bierman, RN

• Chiropractor in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.