Dennis C Gouldbourne, D.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH9067 Issued in FL

Practice address

16213 Miramar Pkwy
Miramar, FL 33027-4572

Phone

(954) 805-3553

NPI assigned

Jun 12, 2007

Last updated

Apr 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Total Health Chiropractic

  • Rehabilitation Chiropractor
  • Miramar, FL
  • NPI 1104069699
  Medicare reassignment NPD Authorized official
• Dynamic Medical Services Inc

  • Spinal Cord Injury Medicine Physician
  • Miami, FL
  • NPI 1932150554

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1366646655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 ALHAMBRA BLVD",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235820",
            "telephone_number": "954-961-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16213 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274572",
            "telephone_number": "954-805-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULDBOURNE",
        "first_name": "DENNIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9067",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwyneth Gordon, PHARMD
• Jenilee Gordon
• Kayfia Sherie Gordon
• Rosemarie Goris-Hernandez, M.D.
• Reham Gouda
• Gousse Urology, LLC
• Angelo E Gousse, MD
• Marie Saliah Gousse
• Allena L Graaf, LMT, BCTMB
• Grace & Co Concierge Services LLC

• Rehabilitation Chiropractor in Miramar, FL
• Providers in Miramar, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.