Individual provider Active NPI

Christopher Bernard Berry, DC

  • Chiropractor
  • Findlay, OH
National Provider Identifier
1982793782
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2287 Issued in OH
Practice address
1611 Tiffin Ave
Findlay, OH 45840
Phone
(419) 420-1555
Fax
(419) 420-1556
NPI assigned
Oct 12, 2006
Last updated
Oct 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2287 OH Primary

Addresses

Primary practice location

1611 Tiffin Ave
Findlay, OH 45840

Mailing address

1611 Tiffin Ave
Findlay, OH 45840
Phone (419) 420-1555

Other identifiers 2

IdentifierTypeStateIssuer
311526578004OtherAETNA INS CO
0225367MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000520 OH Practitioner - Chiropractic 8022285725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Physical Medicine and Rehab IncGroup PAC ID 8123342847, 4 clinicians

Practice addresses (Care Compare)

1611 Tiffin Ave
Findlay, OH 45840-6821
Phone (419) 420-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2287OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Physical Medicine and Rehab Inc CurrentSince Jan 2, 2015 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1611 Tiffin Ave
Findlay, OH 45840
Phone (419) 420-1555

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1982793782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 TIFFIN AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "45840",
            "telephone_number": "419-420-1555",
            "fax_number": "419-420-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 TIFFIN AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "45840",
            "telephone_number": "419-420-1555",
            "fax_number": "419-420-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CHRISTOPHER",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "311526578004",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225367",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.