Organization Active NPI

Jonathan Goff Enterprises, Inc

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1275717878
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JONATHAN GOFF ENTERPRISES, INC
Practice address
2610 TPC Pkwy
Suite 101
San Antonio, TX 78259-2393
Phone
(201) 497-3100
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Dr. Jonathan A Goff, DC
Title
Owner
Phone
(210) 497-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TX Primary

Addresses

Primary practice location

2610 TPC Pkwy
Suite 101
San Antonio, TX 78259-2393

Mailing address

2610 TPC Pkwy
Suite 101
San Antonio, TX 78259-2393
Phone (201) 497-3100

Other identifiers 1

IdentifierTypeStateIssuer
0046KBOtherTXBCBS

Other names 1

  • Back & Body Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2610 Tpc Pkwy
Ste 101
San Antonio, TX 78259
Phone (201) 497-3100

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1275717878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 TPC PKWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592393",
            "telephone_number": "201-497-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 TPC PKWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592393",
            "telephone_number": "201-497-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN GOFF ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-497-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0046KB",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back & Body Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.