Individual provider Active NPI

Charles Brian Goldston, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1427239581
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3772 Issued in OR
Practice address
11115 SE Stark St
Portland, OR 97216-3352
Phone
(503) 256-4830
Fax
(503) 255-0758
NPI assigned
Nov 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 3772 OR Primary

Addresses

Primary practice location

11115 SE Stark St
Portland, OR 97216-3352

Mailing address

11115 SE Stark St
Portland, OR 97216-3352
Phone (503) 256-4830

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

Practice roles

OrganizationSpecialtyStatusNew patients
Starkwood Chiropractic Chiropractor Past Accepting new patients
Complete Health Chiropractic Center, LLC Chiropractor PastSince Mar 1, 2002 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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1427239581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163352",
            "telephone_number": "503-256-4830",
            "fax_number": "503-255-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11115 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163352",
            "telephone_number": "503-256-4830",
            "fax_number": "503-255-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTON",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.