Organization Active NPI

Fidel Goldson DC PA

  • Chiropractor
  • Plantation, FL
National Provider Identifier
1174621080
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6583 Issued in FL
Legal business name
FIDEL GOLDSON DC PA
Practice address
734 N State Road 7
Plantation, FL 33317-2129
Phone
(954) 584-3774
Fax
(954) 583-0497
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Fidel Goldson Sr., D.C.
Title
Chiropractor
Phone
(954) 584-3774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH6583 FL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT19489 FL

Addresses

Primary practice location

734 N State Road 7
Plantation, FL 33317-2129

Mailing address

734 N State Road 7
Plantation, FL 33317-2129
Phone (954) 584-3774

Other identifiers 1

IdentifierTypeStateIssuer
380230200MedicaidFL

Other names 1

  • Goldson Spine Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

Locations

10796 Pines Blvd
Ste 105
Pembroke Pines, FL 33026
Phone (954) 367-4888

10796 Pines Blvd
Ste 101
Pembroke Pines, FL 33026
Phone (954) 367-4888

Practitioners & affiliated clinicians

Practitioners 4

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1174621080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172129",
            "telephone_number": "954-584-3774",
            "fax_number": "954-583-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172129",
            "telephone_number": "954-584-3774",
            "fax_number": "954-583-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL GOLDSON DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "GOLDSON",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "954-584-3774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6583",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380230200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldson Spine Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.