Max Giovanni Gondolfo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4705 Issued in OK

Practice address

2432 W New Orleans St
Broken Arrow, OK 74011-1590

Phone

(918) 938-1330

NPI assigned

Apr 2, 2026

Last updated

Apr 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wayback Chiropractic

  • Health Service Clinic/Center
  • Broken Arrow, OK
  • NPI 1902747207
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1326989658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 W BIRMINGHAM CIR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W NEW ORLEANS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111590",
            "telephone_number": "918-938-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDOLFO",
        "first_name": "MAX",
        "middle_name": "GIOVANNI",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric T Golbek, DDS
• Julia Allyson Gold
• Golden Medical Services
• Alexandra Goldsmith
• Heather Goldsmith
• Richard Pomares Goode
• Quinton James Allen Goodson
• Chelsi N Gorman, PTA
• Luis Ventura Gorospe, M.D.
• Makenzie Elaine Gotes, BA

• Chiropractor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.