Active NPI
Patrick Lynn Goldsworthy, D.C.
- Chiropractor
- Blue Springs, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003834
- Practice address
- 1127 W Main St
Blue Springs, MO 64015-3611 - Phone
- (816) 229-1941
- Fax
- (816) 229-7085
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 003834 | MO | Primary |
Addresses
Primary practice location
1127 W Main St
Blue Springs, MO 64015-3611
Mailing address
1127 W Main St
Blue Springs, MO 64015-3611
Phone (816) 229-1941
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11362010 | Other | MO | BCBS PROVIDER NUMBER |
| 02167019 | Other | MO | BCBS GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1131 W Main St
Blue Springs, MO 64015-3611
Phone (816) 229-7561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Como LLC | Current | Accepting new patients | |
| Core Medical Center, LLC | Chiropractor | Current | Accepting new patients |
| Ap Medical | Past | Accepting new patients |
Locations
1127 W Main St
Blue Springs, MO 64015
Phone (816) 229-1941
1131 W Main St
Ste A
Blue Springs, MO 64015
Phone (816) 895-8382
1131 W Main St
Blue Springs, MO 64015
Phone (816) 229-1941
305 N Keene St
Ste 105A
Columbia, MO 65201
Phone (512) 866-3512
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Blue Springs, MO
- NPI 1558733766
Chiropractor
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1477380632
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Blue Springs, MO
- NPI 1841753209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184780892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 W MAIN ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-229-1941",
"fax_number": "816-229-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 W MAIN ST",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640153611",
"telephone_number": "816-229-1941",
"fax_number": "816-229-7085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSWORTHY",
"first_name": "PATRICK",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "003834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "11362010",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "02167019",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.