Goodman Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

349688-1202 Issued in UT

Legal business name

GOODMAN CHIROPRACTIC, LLC

Practice address

85 E State Road 73
Saratoga Springs, UT 84045-4823

Phone

(801) 766-0507

Fax

(801) 766-0838

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth M. Goodman, D.C.NPI 1700971587

Title

Owner

Phone

(801) 766-0507

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Michael Goodman, D.C.

  • Chiropractor
  • Saratoga Springs, UT
  • NPI 1700971587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1245489012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E STATE ROAD 73",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454823",
            "telephone_number": "801-766-0507",
            "fax_number": "801-766-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E STATE ROAD 73",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454823",
            "telephone_number": "801-766-0507",
            "fax_number": "801-766-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-766-0507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "349688-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220909429001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Garrard
• Alexandra Marilyn Bonner Gerber, CSW
• Kiley Jo Germain
• Abigail Giordano
• Daniel Gomez-Torres, RBT
• Kenneth Michael Goodman, D.C.
• Taylor Goodrich, M.S. CCC-SLP
• Aubree Graham, DPT
• Heidi Gray
• Greenwood Dental

• Chiropractor in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.