NPIMap

Organization Active NPI

Matthew a Goben, D.C. LTD

Doing business as Chester Chiropractic Clinic

  • Chiropractor
  • Chester, IL
National Provider Identifier
1346317765
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-008691 Issued in IL
Legal business name
MATTHEW A GOBEN, D.C. LTD
Doing business as
Chester Chiropractic Clinic
Practice address
987 State St
Chester, IL 62233-1654
Phone
(618) 826-5031
Fax
(618) 826-5032
NPI assigned
Nov 29, 2006
Last updated
Oct 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Dr. Matthew Aden Goben, D.C.NPI 1053488460
Title
President
Phone
(618) 826-5031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-008691 IL Primary

Addresses

Primary practice location

987 State St
Chester, IL 62233-1654

Mailing address

987 State St
Chester, IL 62233-1654
Phone (618) 826-5031

Other identifiers 2

IdentifierTypeStateIssuer
419279OtherILHEALTHLINK
7923183OtherILBCBS

Other names 1

  • CHESTER CHIROPRACTIC CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

987 State St
Chester, IL 62233
Phone (618) 314-4995

504 Liberty St
Evansville, IL 62242
Phone (618) 853-2537

249 W Lockwood Ave
Webster Groves, MO 63119
Phone (314) 961-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1346317765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331654",
            "telephone_number": "618-826-5031",
            "fax_number": "618-826-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331654",
            "telephone_number": "618-826-5031",
            "fax_number": "618-826-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A GOBEN, D.C. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "GOBEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ADEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-826-5031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "419279",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7923183",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHESTER CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.