Individual provider Active NPI

Robin William Gooden, D.C.

  • Chiropractor
  • Bangor, ME
National Provider Identifier
1164438917
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CR1314 Issued in ME
Practice address
16 Penn PLZ Ste 22
Bangor, ME 04401-3620
Phone
(207) 947-8077
Fax
(207) 947-3721
NPI assigned
Aug 1, 2006
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CR1314 ME Primary

Addresses

Primary practice location

16 Penn PLZ Ste 22
Bangor, ME 04401-3620

Mailing address

16 Penn PLZ Ste 22
Bangor, ME 04401-3620
Phone (207) 947-8077

Other practice location 1

150 Bucksport Rd
Ellsworth, ME 04605-2224
Phone (207) 667-4678

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000086 ME Practitioner - Chiropractic 4183668064 Practice locations: Bangor, ME

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Penn PLZ
Suite 22
Bangor, ME 04401-3620
Phone (207) 949-1655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CR1314MEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Chiropractic and Wellness Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1164438917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PENN PLZ STE 22",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-947-8077",
            "fax_number": "207-947-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PENN PLZ STE 22",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013620",
            "telephone_number": "207-947-8077",
            "fax_number": "207-947-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Bucksport Rd",
            "address_purpose": "LOCATION",
            "city": "Ellsworth",
            "state": "ME",
            "postal_code": "046052224",
            "country_code": "US",
            "telephone_number": "207-667-4678",
            "fax_number": "207-947-3721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "ROBIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.

Verify at the official NPI Registry.