Individual provider Active NPI

Stuart Wayne Goldberg, D.C.

  • Chiropractor
  • Delray Beach, FL
National Provider Identifier
1023273372
Registry record updated Jul 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5954 Issued in FL
Practice address
6065 Pointe Regal Cir Apt 107
Delray Beach, FL 33484-1811
Phone
(303) 859-4766
NPI assigned
Jul 26, 2008
Last updated
Jul 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5954 FL Primary

Addresses

Primary practice location

6065 Pointe Regal Cir Apt 107
Delray Beach, FL 33484-1811

Mailing address

6065 Pointe Regal Cir Apt 107
Delray Beach, FL 33484-1811
Phone (303) 859-4766

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH5954FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1217030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217030400000",
    "number": "1023273372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 POINTE REGAL CIR APT 107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841811",
            "telephone_number": "303-859-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 POINTE REGAL CIR APT 107",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334841811",
            "telephone_number": "303-859-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STUART",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-26",
        "last_updated": "2008-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.