NPIMap

Organization Active NPI

Goulart Family Chiropractic Inc

  • Chiropractor
  • Bend, OR
National Provider Identifier
1093993156
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GOULART FAMILY CHIROPRACTIC INC
Practice address
424 NE Franklin Ave
Bend, OR 97701-4919
Phone
(541) 388-3588
Fax
(541) 388-0839
NPI assigned
Jan 31, 2008
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Dr. Timothy Goulart, D.C.NPI 1518017078
Title
President
Phone
(541) 388-3588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

424 NE Franklin Ave
Bend, OR 97701-4919

Mailing address

424 NE Franklin Ave
Bend, OR 97701-4919
Phone (541) 388-3588

National Provider Directory

National Provider Directory

Locations

424 NE Franklin Ave
Bend, OR 97701
Phone (541) 388-3588

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1093993156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014919",
            "telephone_number": "541-388-3588",
            "fax_number": "541-388-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014919",
            "telephone_number": "541-388-3588",
            "fax_number": "541-388-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOULART FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GOULART",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-388-3588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.