Individual provider Active NPI

Sunita Goodson, D.C.

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1427213412
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3876 Issued in OK
Practice address
12711 E 86TH PL N
Suite 104
Owasso, OK 74055-2695
Phone
(918) 376-4663
Fax
(918) 376-4664
NPI assigned
Jul 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3876 OK Primary

Addresses

Primary practice location

12711 E 86TH PL N
Suite 104
Owasso, OK 74055-2695

Mailing address

12711 E 86TH PL N
Suite 104
Owasso, OK 74055-2695
Phone (918) 376-4663

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3876OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1427213412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12711 E 86TH PL N",
            "address_2": "SUITE 104",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552695",
            "telephone_number": "918-376-4663",
            "fax_number": "918-376-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12711 E 86TH PL N",
            "address_2": "SUITE 104",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552695",
            "telephone_number": "918-376-4663",
            "fax_number": "918-376-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSON",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.