Individual provider Active NPI

Gregory A. Goffe, D.C.

  • Chiropractor
  • Dayton, OH
National Provider Identifier
1093938763
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1792 Issued in OH
Practice address
380 Regency Ridge Dr
Dayton, OH 45459-4251
Phone
(937) 435-1895
Fax
(937) 435-1884
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1792 OH Primary

Addresses

Primary practice location

380 Regency Ridge Dr
Dayton, OH 45459-4251

Mailing address

380 Regency Ridge Dr
Dayton, OH 45459-4251
Phone (937) 435-1895

Other identifiers 4

IdentifierTypeStateIssuer
000000020645OtherOHANTHEM
0807661OtherOHAETNA
0968458MedicaidOH
44-20167OtherOHUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000820 OH Practitioner - Chiropractic 0941196638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1792OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Goffe Chiropractic Center, Inc. Chiropractor CurrentSince Apr 16, 1992 Accepting new patients

Locations

387 Regency Ridge Dr
Dayton, OH 45459
Phone (937) 435-1194

380 Regency Ridge Dr
Dayton, OH 45459
Phone (937) 433-9821

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1093938763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 REGENCY RIDGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594251",
            "telephone_number": "937-435-1895",
            "fax_number": "937-435-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 REGENCY RIDGE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594251",
            "telephone_number": "937-435-1895",
            "fax_number": "937-435-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFFE",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000020645",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0807661",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0968458",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-20167",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.