Individual provider Active NPI

David C Goldberg, DC

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1184697955
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2708 Issued in FL
Practice address
500 NE Spanish River Blvd
Suite # 35
Boca Raton, FL 33431-4515
Phone
(561) 368-2446
Fax
(561) 368-2990
NPI assigned
Feb 10, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2708 FL Primary

Addresses

Primary practice location

500 NE Spanish River Blvd
Suite # 35
Boca Raton, FL 33431-4515

Mailing address

500 NE Spanish River Blvd
Suite # 35
Boca Raton, FL 33431-4515
Phone (561) 368-2446

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000548 FL Practitioner - Chiropractic 5597952747 Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH2708FLMDChiropractor

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1184697955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD",
            "address_2": "SUITE # 35",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314515",
            "telephone_number": "561-368-2446",
            "fax_number": "561-368-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD",
            "address_2": "SUITE # 35",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314515",
            "telephone_number": "561-368-2446",
            "fax_number": "561-368-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.