Individual provider Active NPI

Ryan Paul Goss, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1336182773
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1404 Issued in NE
Practice address
835 N 98TH St
Omaha, NE 68114-2338
Phone
(402) 397-8980
Fax
(402) 397-8977
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1404 NE Primary

Addresses

Primary practice location

835 N 98TH St
Omaha, NE 68114-2338

Mailing address

835 N 98TH St
Omaha, NE 68114-2338
Phone (402) 397-8980

Other identifiers 1

IdentifierTypeStateIssuer
10025288200MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000461 NE Practitioner - Chiropractic 1153354949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

835 N 98TH St
Omaha, NE 68114-2338
Phone (402) 397-8980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1404NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clocktower Chiropractic, Inc Chiropractor CurrentSince Oct 23, 2006 Accepting new patients

Locations

835 N 98th St
Omaha, NE 68114
Phone (402) 397-8980

633 N 98th St
Omaha, NE 68114
Phone (402) 397-8980

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1336182773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N 98TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142338",
            "telephone_number": "402-397-8980",
            "fax_number": "402-397-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 N 98TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142338",
            "telephone_number": "402-397-8980",
            "fax_number": "402-397-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "RYAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025288200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.