Tara Goodson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4133 Issued in OK

Practice address

2060 Harper St
Choctaw, OK 73020-8051

Phone

(405) 281-6304

Fax

(405) 281-6305

NPI assigned

Oct 28, 2013

Sex

Female

Sole proprietor

Yes

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.

• Align Chiropractic and Wellness, PLLC

  • Chiropractor
  • Choctaw, OK
  • NPI 1952724833

  OK

  Medicare reassignment Care Compare group Authorized official

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Align Chiropractic and Wellness, PLLC 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

• Tara Foreman Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2014.

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1114355294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 HARPER ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730201000",
            "telephone_number": "405-281-6304",
            "fax_number": "405-281-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 HARPER ST",
            "city": "CHOCTAW",
            "state": "OK",
            "postal_code": "730208051",
            "telephone_number": "405-281-6304",
            "fax_number": "405-281-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "FOREMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Choctaw, OK
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.