Active NPI
Lisa Anne Berry, D.C.
- Chiropractor
- Milwaukee, WI
National Provider Identifier
1992944649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4472-012
- Practice address
- 3400 S 103Rd St
300
Milwaukee, WI 53227-4163 - Phone
- (414) 377-0988
- NPI assigned
- Feb 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4472-012 | WI | Primary |
Addresses
Primary practice location
3400 S 103Rd St
300
Milwaukee, WI 53227-4163
Mailing address
3400 S 103Rd St
300
Milwaukee, WI 53227-4163
Phone (414) 377-0988
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4472-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HWPT | Past | Accepting new patients | |
| Back 2 Action Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Dcdo, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
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-
- Clinic/Center
- Brookfield, WI
- NPI 1376689414
-
- Medical Specialty Clinic/Center
- Brookfield, WI
- NPI 1578853990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1992944649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 S 103RD ST",
"address_2": "300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274163",
"telephone_number": "414-377-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 S 103RD ST",
"address_2": "300",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532274163",
"telephone_number": "414-377-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "LISA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-19",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4472-012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.