Michael Leonard Goetsch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4965 Issued in NC

Practice address

434 N Trade St # 103
Matthews, NC 28105-1864

Phone

(850) 776-3237

NPI assigned

Sep 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Michael Goetsch Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prototype Health PLLC

  • Chiropractor
  • Matthews, NC
  • NPI 1023675717
  NPD (past) Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1063921674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 CRAMER CIR APT 303",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077860",
            "telephone_number": "850-776-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N TRADE ST # 103",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051864",
            "telephone_number": "850-776-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "MICHAEL",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-26",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "GOETSCH",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cynthia Gleeson, FNP
• Glenise Parrott
• Ella Maria Glover
• Linda Renee Goddard
• Raleigh K. Godsey Jr., MD
• Natasha Halmi Goins, M.D.
• Robert Alan Goins, M.D.
• Junhui Gong, MD
• Eduardo Gonzalez Jr.
• Good Life Chiropractic, P.a.

• Chiropractor in Matthews, NC
• Providers in Matthews, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.