Michael G Goulding, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR669 Issued in ME

Practice address

12 Revere St
Portland, ME 04103-4410

Phone

(207) 775-6782

Fax

(207) 775-3750

NPI assigned

Aug 10, 2006

Last updated

Oct 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1164433553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 REVERE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034410",
            "telephone_number": "207-775-6782",
            "fax_number": "207-775-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 REVERE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034410",
            "telephone_number": "207-775-6782",
            "fax_number": "207-775-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDING",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT DFEC",
            "identifier": "354401000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000822",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118550099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5611164",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN REPUBLIC",
            "identifier": "1025479",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "V06225",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005433260",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350018055",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Gottfried, LCSW
• Sujana Gottumukkala, MD
• Benjamin James Goudreau, D.C.
• Kellie Ann P Goudreau, MS, PA-C
• Laurie Goulding
• Ashlee Helen Goulette, CNP
• Sarah C Gourley, LCSW
• Anna Locke Gowdy, LCPC, LADC
• Dale R Gowen, MD
• Gail Goza-Macmullan, PHD

• Chiropractor in Portland, ME
• Providers in Portland, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.