Organization Active NPI

Goode Chiropractic Center LLC

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1134565005
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0001214 Issued in FL
Legal business name
GOODE CHIROPRACTIC CENTER LLC
Practice address
1300 Croton Rd
Melbourne, FL 32935-3164
Phone
(321) 259-8888
Fax
(321) 254-6555
NPI assigned
May 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Dr. Clarence Dale Goode, D.C.
Title
Owner
Phone
(321) 259-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0001214 FL Primary

Addresses

Primary practice location

1300 Croton Rd
Melbourne, FL 32935-3164

Mailing address

1300 Croton Rd
Melbourne, FL 32935-3164
Phone (321) 259-8888

National Provider Directory

National Provider Directory

Locations

1300 Croton Rd
Melbourne, FL 32935
Phone (321) 259-8888

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1134565005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CROTON RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353164",
            "telephone_number": "321-259-8888",
            "fax_number": "321-254-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CROTON RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353164",
            "telephone_number": "321-259-8888",
            "fax_number": "321-254-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-259-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.