Matthew Aden Goben, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008691 Issued in IL

Practice address

987 State St
Chester, IL 62233-1654

Phone

(618) 826-5031

Fax

(618) 826-5032

NPI assigned

Nov 29, 2006

Last updated

Oct 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew a Goben, D.C. LTD

  dba Chester Chiropractic Clinic

  • Chiropractor
  • Chester, IL
  • NPI 1346317765
  Authorized official Same address or phone

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1053488460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S MAPLE AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193823",
            "telephone_number": "314-961-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331654",
            "telephone_number": "618-826-5031",
            "fax_number": "618-826-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEN",
        "first_name": "MATTHEW",
        "middle_name": "ADEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Chester, IL
• Providers in Chester, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.