Justin Robert Goodridge, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3275 Issued in TN

Practice address

19790 Alberta St
Oneida, TN 37841-3307

Phone

(423) 569-8931

Fax

(423) 569-8932

NPI assigned

Feb 20, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: lauren@jamestownfamilychiropractic.com

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205469012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 INTERSTATE DR STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556187",
            "telephone_number": "931-456-8880",
            "fax_number": "931-456-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19790 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413307",
            "telephone_number": "423-569-8931",
            "fax_number": "423-569-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRIDGE",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren@jamestownfamilychiropractic.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19790 Alberta St",
            "city": "Oneida",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378413307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Rose Fleck, DDS
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• Wesley Colton Frisbee
• Mercedes Goodman, NP
• Ashley Dawn Griffith, NP-C
• Crystalle Griffith, ACAGNP-BC
• Elaine Griffith
• Rachel Elizabeth Guard, PHARMD
• Christal P Hamilton, CPHT

• Chiropractor in Oneida, TN
• Providers in Oneida, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.