Active NPI
Robert Herschell Goeckel, CHIROPRACTOR
- Chiropractor
- Flint, MI
National Provider Identifier
1023014768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004573
- Practice address
- G4306 Richfield Road
Flint, MI 48506-2022 - Phone
- (810) 736-0501
- Fax
- (810) 736-4783
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- 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 | 2301004573 | MI | Primary |
Addresses
Primary practice location
G4306 Richfield Road
Flint, MI 48506-2022
Mailing address
G4306 Richfield Road
Flint, MI 48506-2022
Phone (810) 736-0501
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1658358 | Medicaid | MI | |
| 950B550150 | Other | MI | BCBS MICHIGAN |
| 0B50891 | Other | MI | MEDICARE ID |
| P73506 | Other | MI | BLUE CARE NET NUMBER |
| XX05374 | Other | MI | HEALTH PLUS PROVIDER CODE |
| P01309793 | Other | MI | PALMETTO RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 2301004573 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1023014768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G4306 RICHFIELD ROAD",
"city": "FLINT",
"state": "MI",
"postal_code": "485062022",
"telephone_number": "810-736-0501",
"fax_number": "810-736-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G4306 RICHFIELD ROAD",
"city": "FLINT",
"state": "MI",
"postal_code": "485062022",
"telephone_number": "810-736-0501",
"fax_number": "810-736-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOECKEL",
"first_name": "ROBERT",
"middle_name": "HERSCHELL",
"name_prefix": "Dr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1658358",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MICHIGAN",
"identifier": "950B550150",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0B50891",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NET NUMBER",
"identifier": "P73506",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS PROVIDER CODE",
"identifier": "XX05374",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RAILROAD MEDICARE",
"identifier": "P01309793",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.