Individual provider Active NPI

Miles A Goins, D.C.

  • Chiropractor
  • Mexico, MO
National Provider Identifier
1114196219
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011039597 Issued in MO
Practice address
2709 E Liberty St
Mexico, MO 65265-3556
Phone
(573) 975-9824
Fax
(573) 581-2446
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11188 TX
Chiropractor 111N00000X 2011039597 MO Primary

Addresses

Primary practice location

2709 E Liberty St
Mexico, MO 65265-3556

Mailing address

2709 E Liberty St
Mexico, MO 65265-3556
Phone (573) 975-9824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000497 MO Practitioner - Chiropractic 5799961199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2709 E Liberty St
Mexico, MO 65265-3556
Phone (573) 581-2446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011039597MOMDChiropractor
11188TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Image Chiropractic PC Chiropractor CurrentSince Apr 1, 2015 Accepting new patients

Locations

2709 E Liberty St
Mexico, MO 65265
Phone (573) 581-2446

3618 S Clark St
Mexico, MO 65265
Phone (573) 581-0381

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": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1114196219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 E LIBERTY ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653556",
            "telephone_number": "573-975-9824",
            "fax_number": "573-581-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 E LIBERTY ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653556",
            "telephone_number": "573-975-9824",
            "fax_number": "573-581-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOINS",
        "first_name": "MILES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11188",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011039597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.