Active NPI
Eric Wayne Goodman, D.C.
- Chiropractor
- Cornelius, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4363
- Practice address
- 18047 W Catawba Ave Ste a
Cornelius, NC 28031-5663 - Phone
- (704) 956-1107
- Fax
- (704) 987-3991
- NPI assigned
- Apr 19, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4363 | NC | Primary |
Addresses
Primary practice location
18047 W Catawba Ave Ste a
Cornelius, NC 28031-5663
Mailing address
4805 Park Rd
Ste 225
Charlotte, NC 28209-3809
Phone (704) 956-1107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4601 Park Rd
Suite 100
Charlotte, NC 28209-2296
Phone (704) 527-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4363 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodman Chiropractic, PC | Chiropractor | Current | Accepting new patients |
| De Health Partners PC | Chiropractor | Current | Accepting new patients |
| Lake Norman Health and Wellness, PA | Chiropractor | Past | Accepting new patients |
Locations
4805 Park Rd
Ste 225
Charlotte, NC 28209
Phone (704) 527-7246
4601 Park Rd
Ste 100
Charlotte, NC 28209
Phone (704) 527-7246
19607 W Catawba Ave
Ste 103
Cornelius, NC 28031
Phone (704) 956-1107
Organizations & group practices 3
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.
-
- Chiropractor
- Charlotte, NC
- NPI 1356799605
-
- Chiropractor
- Cornelius, NC
- NPI 1407295421
-
- Chiropractor
- Cornelius, NC
- NPI 1417044637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1124385844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 PARK RD",
"address_2": "STE 225",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282093809",
"telephone_number": "704-956-1107",
"fax_number": "704-987-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18047 W CATAWBA AVE STE A",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315663",
"telephone_number": "704-956-1107",
"fax_number": "704-987-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ERIC",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-19",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "4363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.