Active NPI
Todd C. Goodale, D.C.
- Orthopedic Chiropractor
- Houston, TX
National Provider Identifier
1104923788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 4231
- Practice address
- 1833 El Dorado Blvd
Houston, TX 77062-3601 - Phone
- (281) 480-7784
- Fax
- (281) 480-7565
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 4231 | TX | Primary |
Addresses
Primary practice location
1833 El Dorado Blvd
Houston, TX 77062-3601
Mailing address
1833 El Dorado Blvd
Houston, TX 77062-3601
Phone (281) 480-7784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601584 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080623000223 | TX | Practitioner - Chiropractic | 6002987880 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1833 El Dorado Blvd
Houston, TX 77062-3601
Phone (281) 480-7784
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04231 | TX | MD | Social Worker |
| 4231 | TX | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104923788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 EL DORADO BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770623601",
"telephone_number": "281-480-7784",
"fax_number": "281-480-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 EL DORADO BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770623601",
"telephone_number": "281-480-7784",
"fax_number": "281-480-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODALE",
"first_name": "TODD",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "4231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "601584",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.