NPIMap

Organization Active NPI

Goshorn Chiropractic P.C.

  • Chiropractor
  • Webster, NY
National Provider Identifier
1124057492
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005692 Issued in NY
Legal business name
GOSHORN CHIROPRACTIC P.C.
Practice address
725 Ridge Rd
Webster, NY 14580-2450
Phone
(585) 671-0934
Fax
(585) 671-9082
NPI assigned
Jun 30, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Mrs. Karen J. Szembrot
Title
Office Manager
Phone
(585) 671-0934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005692 NY Primary

Addresses

Primary practice location

725 Ridge Rd
Webster, NY 14580-2450

Mailing address

725 Ridge Rd
Webster, NY 14580-2450
Phone (585) 671-0934

Other identifiers 1

IdentifierTypeStateIssuer
100195ANOtherNYPREFERRED CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001180 NY Part B Supplier - Clinic/Group Practice 7214996123 Receives reassigned benefits from 4 practitioners
Practice locations: Webster, NY

National Provider Directory

National Provider Directory

Locations

725 Ridge Rd
Webster, NY 14580
Phone (585) 671-0934

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1124057492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934",
            "fax_number": "585-671-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934",
            "fax_number": "585-671-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHORN CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "SZEMBROT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-671-0934",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100195AN",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.