Amanda Golden, D.C.
Individual provider Active NPI Chiropractor · Splendora, TX
NPI 1013246362 · NPPES record last updated Feb 5, 2011
Key facts
- NPI
- 1013246362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 11292 (TX)
- Practice address
- 13817 Highway 59
Suite C
Splendora, TX 77372-4698 - Phone
- (832) 303-9355
- NPI assigned
- Dec 16, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150224000108 | OH | Practitioner - Chiropractic | 2860675667 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4496 | OH | MD | Clinical Psychologist |
| 11292 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbury Chiropractic Center Inc | Chiropractor | Current |
Accepting new patients |
Locations
620 W Coshocton St
Johnstown, OH 43031
Phone (740) 967-2225
123 State Route 3
Sunbury, OH 43074
Phone (740) 965-4301
123 State Route 3
Ste A
Sunbury, OH 43074
Phone (740) 965-4301
123 State Route 3
#A
Sunbury, OH 43074
Phone (740) 965-4301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11292 | TX | Yes |
| Nutrition Chiropractor | 111NN1001X | 11292 | TX | |
| Pediatric Chiropractor | 111NP0017X | 11292 | TX |
Addresses
Primary practice location
13817 Highway 59
Suite C
Splendora, TX 77372-4698
Mailing address
19780 Atascocita Shores Dr
Apt 311
Humble, TX 77346-2384
Phone (614) 795-7295
Other providers in Splendora, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2011. 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.