Individual provider Active NPI

Kyle Wolfgang Goodier, DC

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1104711035
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16649 Issued in TX
Practice address
6301 Gaston Ave Ste 1104
Dallas, TX 75214-3954
Phone
(469) 909-3669
NPI assigned
Jun 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16649 TX Primary

Addresses

Primary practice location

6301 Gaston Ave Ste 1104
Dallas, TX 75214-3954

Mailing address

2008 Vickie Dr
Irving, TX 75060-3650
Phone (469) 332-8454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250618001740 IL Practitioner - Chiropractic 9133630932 Reassigns benefits to 1 organization
I20260518003557 TX Practitioner - Chiropractic 9133630932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halsell Chiropractic LLCGroup PAC ID 9335443225, 3 clinicians
Chiro One Wellness Center of North Orleans PLLCGroup PAC ID 0143694885, 3 clinicians

Practice addresses (Care Compare)

225 W Ellison St
Suite 101
Burleson, TX 76028-4705
Phone (817) 426-4950

414 N Orleans St
Suite 207
Chicago, IL 60654-4493
Phone (312) 832-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16649TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zrelak Chiropractic Center, S.C. Chiropractor CurrentSince Jun 11, 2025 Accepting new patients
Chiro One Wellness Center of North Orleans PLLC Chiropractor CurrentSince Jun 11, 2025 Accepting new patients

Locations

414 N Orleans St
Ste 207
Chicago, IL 60654
Phone (312) 832-9700

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

Organizations & group practices 3

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": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1104711035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 VICKIE DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603650",
            "telephone_number": "469-332-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 GASTON AVE STE 1104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143954",
            "telephone_number": "469-909-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODIER",
        "first_name": "KYLE",
        "middle_name": "WOLFGANG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.