Active NPI
David Glass Berry, N.M.T.
- Contractor
- Moncks Corner, SC
National Provider Identifier
1942447578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 5374
- Practice address
- 202 Carolina Ave
Moncks Corner, SC 29461-3785 - Phone
- (843) 899-9088
- Fax
- (843) 899-9088
- NPI assigned
- Jan 20, 2009
- Last updated
- Jan 20, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 5374 | SC | Primary |
Addresses
Primary practice location
202 Carolina Ave
Moncks Corner, SC 29461-3785
Mailing address
202 Carolina Ave
Moncks Corner, SC 29461-3785
Phone (843) 899-9088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5374 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berry Massagetherapy & Chiropractic Center | Past | Accepting new patients | |
| Trips Chiropractic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Moncks Corner, SC
- NPI 1093952533
-
dba Berry Massage Therapy and Chiropractic Center
- Chiropractor
- Moncks Corner, SC
- NPI 1972834265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232409600000",
"number": "1942447578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 CAROLINA AVE",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613785",
"telephone_number": "843-899-9088",
"fax_number": "843-899-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CAROLINA AVE",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294613785",
"telephone_number": "843-899-9088",
"fax_number": "843-899-9088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DAVID",
"middle_name": "GLASS",
"name_prefix": "Mr.",
"credential": "N.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-20",
"last_updated": "2009-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "SC",
"license": "5374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.