Larry Kenneth Goodwin, D.C.
Individual provider Active NPI Chiropractor · Mansfield, AR
NPI 1265530331 · NPPES record last updated Sep 6, 2026
Key facts
- NPI
- 1265530331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1035 (AR)
- Practice address
- 2100 Lake Shore Lane
Mansfield, AR 72944 - Phone
- (479) 462-7891
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1035 | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1035 | AR | Yes |
Addresses
Primary practice location
2100 Lake Shore Lane
Mansfield, AR 72944
Mailing address
2100 Lake Shore Lane
P.O. Box 692
Mansfield, AR 72944
Phone (479) 462-7891
Other providers in Mansfield, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.