John Berlin, D.C.
Individual provider Active NPI Chiropractor · Albuquerque, NM
NPI 1992893077 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992893077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1104 (NM)
- Practice address
- 1820 Juan Tabo Blvd NE
Albuquerque, NM 87112-3302 - Phone
- (505) 296-0296
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110127000637 | NM | Practitioner - Chiropractic | 8426237041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Maria P.C. Dba Caremore Chiropractic Centers | Chiropractor | Current |
Accepting new patients |
Locations
1820 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 293-6071
2622 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 884-8887
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1104 | NM | Yes |
Addresses
Primary practice location
1820 Juan Tabo Blvd NE
Albuquerque, NM 87112-3302
Mailing address
2622 San Mateo Blvd NE
Albuquerque, NM 87110-3130
Phone (505) 888-0331
Other providers in Albuquerque, NM
- Jennifer Anne Berka
- Rachel Berke
- Mira Dawn Berkstein
- Alex I Berlin
- Barbara Berlin
- William Oliver Berlin II
- Robin Berman
- Stanley Zissman Berman
- William Berman Jr.
- Brant A Bermudez
All providers in Albuquerque, NM · Chiropractor in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.