Active NPI
Daniel Goldberg, D.C.
- Chiropractor
- Kitty Hawk, NC
National Provider Identifier
1316927247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1672
- Practice address
- 5575 N Croatan Hwy
Kitty Hawk, NC 27949-3996 - Phone
- (252) 261-5424
- Fax
- (252) 261-5324
- NPI assigned
- Jan 18, 2006
- Last updated
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1672 | NC | Primary |
Addresses
Primary practice location
5575 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Mailing address
5575 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 261-5424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890844A | Medicaid | NC | |
| 0844A | Other | NC | BCBS OF NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Kitty Hawk, NC
- NPI 1326360371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1316927247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 N CROATAN HWY",
"city": "KITTY HAWK",
"state": "NC",
"postal_code": "279493996",
"telephone_number": "252-261-5424",
"fax_number": "252-261-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 N CROATAN HWY",
"city": "KITTY HAWK",
"state": "NC",
"postal_code": "279493996",
"telephone_number": "252-261-5424",
"fax_number": "252-261-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890844A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "0844A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kitty Hawk, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.