Individual provider Active NPI

Patrick Lynn Goldsworthy, D.C.

  • Chiropractor
  • Blue Springs, MO
National Provider Identifier
1184780892
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003834 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11362010OtherMOBCBS PROVIDER NUMBER
02167019OtherMOBCBS GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000561 MO Practitioner - Chiropractic 1456456102 Reassigns benefits to 1 organization

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
Core Medical Center LLCGroup PAC ID 0648576041, 8 clinicians

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

OrganizationSpecialtyStatusNew patients
CMC Como LLC CurrentSince Sep 11, 2026 Accepting new patients
Core Medical Center, LLC Chiropractor CurrentSince Feb 1, 2016 Accepting new patients
Ap Medical PastSince Dec 22, 2019 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.

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.

Verify at the official NPI Registry.