Individual provider Active NPI

Chloe Ann Goodwin, DC

  • Chiropractor
  • Urbandale, IA
National Provider Identifier
1326810912
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
122646 Issued in IA
Practice address
2360 Northwest 128TH Street
Urbandale, IA 50323
Phone
(515) 398-0730
NPI assigned
Oct 26, 2023
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 122646 IA Primary

Addresses

Primary practice location

2360 Northwest 128TH Street
Urbandale, IA 50323

Mailing address

2360 Northwest 128TH Street
Urbandale, IA 50323
Phone (515) 398-0730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241108000506 IN Practitioner - Chiropractic 0143678458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122646IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Solutions Inc. CurrentSince Oct 31, 2024 Accepting new patients

Locations

6330 E 75th St
Ste 124
Indianapolis, IN 46250
Phone (317) 449-2020

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1326810912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 NORTHWEST 128TH STREET",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50323",
            "telephone_number": "515-398-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 NORTHWEST 128TH STREET",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50323",
            "telephone_number": "515-398-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "CHLOE",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "122646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.