Individual provider Active NPI

David Eugene Goodall III, LMP

  • Massage Therapist
  • Seattle, WA
National Provider Identifier
1386843084
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00020245 Issued in WA
Practice address
200 W Mercer St
Ste. 101
Seattle, WA 98119-3995
Phone
(206) 281-7827
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00020245 WA Primary

Addresses

Primary practice location

200 W Mercer St
Ste. 101
Seattle, WA 98119-3995

Mailing address

200 W Mercer St
Ste. 101
Seattle, WA 98119-3995
Phone (206) 281-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00020245WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Clinics, PLLC Past Accepting new patients
Starr Chiropractic, P.S. Past Accepting new patients

Organizations & group practices 2

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1386843084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST",
            "address_2": "STE. 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193995",
            "telephone_number": "206-281-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST",
            "address_2": "STE. 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193995",
            "telephone_number": "206-281-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALL",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00020245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.