NPIMap

Organization Active NPI

Goebel Chiropractic and Family Wellness, P.a.

  • Primary Care Clinic/Center
  • Plymouth, MN
National Provider Identifier
1205030509
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4932 Issued in MN
Legal business name
GOEBEL CHIROPRACTIC AND FAMILY WELLNESS, P.A.
Practice address
1115 Vicksburg LN N
Suite 11
Plymouth, MN 55447-3215
Phone
(763) 473-7000
Fax
(763) 473-7002
NPI assigned
Jun 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick Lee Goebel, DCNPI 1508069766
Title
Owner Physician
Phone
(763) 473-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4932 MN Primary

Addresses

Primary practice location

1115 Vicksburg LN N
Suite 11
Plymouth, MN 55447-3215

Mailing address

1115 Vicksburg LN N
Suite 11
Plymouth, MN 55447-3215
Phone (763) 473-7000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205030509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 VICKSBURG LN N",
            "address_2": "SUITE 11",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554473215",
            "telephone_number": "763-473-7000",
            "fax_number": "763-473-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 VICKSBURG LN N",
            "address_2": "SUITE 11",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554473215",
            "telephone_number": "763-473-7000",
            "fax_number": "763-473-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOEBEL CHIROPRACTIC AND FAMILY WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "763-473-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "4932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.