Gerald Craig Godard, DC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

5851 Issued in AZ

Practice address

2812 N Norwalk
Suite 122
Mesa, AZ 85215-1148

Phone

(480) 844-7900

Fax

(480) 699-4281

NPI assigned

Jun 1, 2005

Reactivated

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. G. Craig Godard Professional name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Godard Chiropractic

  • Nutrition Chiropractor
  • Mesa, AZ
  • NPI 1720612021
  Medicare reassignment NPD Authorized official
• Clouse Chiropractic Clinic LLC

  • Clinic/Center
  • Mesa, AZ
  • NPI 1942481379
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1194727396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 N NORWALK",
            "address_2": "SUITE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151148",
            "telephone_number": "480-844-7900",
            "fax_number": "480-699-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N NORWALK",
            "address_2": "SUITE 122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151148",
            "telephone_number": "480-844-7900",
            "fax_number": "480-699-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODARD",
        "first_name": "GERALD",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-03-30",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "5851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "GODARD",
            "middle_name": "CRAIG",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Marie Gluff, LCSW
• Comfort Gmandan
• GNR Ventures LLC
• Goal Az LLC
• Godard Chiropractic
• Julie Ann Godel, MS LISAC
• Floyd Keith Godfrey
• Fonree Button Godfrey, PMHNP
• Miguel A Godoy, PT
• Jennifer Godwin, PA

• Nutrition Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nutrition Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.