Tyeler Chase Berry, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4184 Issued in SC

Practice address

101 Wildewood Park Dr
Suite B
Columbia, SC 29223-4319

Phone

(803) 788-7890

Fax

(803) 250-2581

NPI assigned

Apr 29, 2014

Last updated

Feb 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greater Carolina Clinic of Chiropractic Inc

  • Chiropractor
  • Columbia, SC
  • NPI 1356880678
  Medicare reassignment NPD Authorized official
• Greater Carolina Clinic of Chiropractic, Inc..

  • Chiropractor
  • Columbia, SC
  • NPI 1366711244
  NPD
• Prime Care Medical Centers LLC

  • General Practice Physician
  • Winter Haven, FL
  • NPI 1336508449
  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1821408832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WILDEWOOD PARK DR",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234319",
            "telephone_number": "803-788-7890",
            "fax_number": "803-250-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILDEWOOD PARK DR",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234319",
            "telephone_number": "803-788-7890",
            "fax_number": "803-250-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TYELER",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11194",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Berry, FNP-C
• Melanie Berry, M.S., B.C.B.
• Mychelle Lynn Berry, ATC
• Nicole Ashley Berry, FNP
• Richard Scott Berry, PHARMD
• Walter S Berry
• Sharon Diane Berrycarrion, CRNA
• Krystal Leigh Berthelette, OD
• Katie Elizabeth Bertsch
• Leslie Diane Bessellieu, PH.D.

• Chiropractor in Columbia, SC
• Providers in Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.

Verify at the official NPI Registry.