Goodspine PLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4002 Issued in OK

Legal business name

GOODSPINE PLC

Practice address

111 S 11TH St
Collinsville, OK 74021-3128

Phone

(991) 837-1284

Fax

(918) 553-8802

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Jake W Landreth, DC

Title

Owner

Phone

(918) 521-8888

Specialties & licenses 1

Addresses

Other names 1

• Jake W. Landreth, DC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Lee Johnson, DC

  • Chiropractor
  • Skiatook, OK
  • NPI 1114006657
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1124308952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740700877",
            "telephone_number": "918-371-2848",
            "fax_number": "918-553-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740213128",
            "telephone_number": "991-837-1284",
            "fax_number": "918-553-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODSPINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "LANDRETH",
        "authorized_official_first_name": "JAKE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-521-8888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jake W. Landreth, DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Ann Giddens, DPM
• Matthew Timmins Gill, FNP
• Brandi A Glasscock, BSN, RN, NCSN
• Golden Heart CPR Training LLC
• Golden Heart Transportation LLC
• Kellie Diane Gregory
• William Martin Grovenburg, OD
• Melissa Ann Grunewald
• Beth Hall, RN
• Leonard Duane Hart, O.D.

• Clinic/Center in Collinsville, OK
• Providers in Collinsville, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.