Timothy Goodwin, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

3583261202 Issued in UT

Practice address

392 E 12300 S Ste C
Draper, UT 84020-8043

Phone

(801) 523-8700

Fax

(801) 523-8191

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Draper Chiropractic P.C.

  • Occupational Health Chiropractor
  • Draper, UT
  • NPI 1992964480
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447321237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 E 12300 S STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208043",
            "telephone_number": "801-523-8700",
            "fax_number": "801-523-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 E 12300 S STE C",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208043",
            "telephone_number": "801-523-8700",
            "fax_number": "801-523-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "3583261202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "3583261202",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Areli Gonzalez
• Diego Hugo Gonzalez, FNP-C
• Nathali Gonzalez
• Harold N Gooch, MD
• Christopher Earl Goodman, DMD
• Angela Gorombey
• Leah Gorrell
• Kyle Hansen Goudie, LCSW
• Jadyn Gould
• Aniela Govada

• Sports Physician Chiropractor in Draper, UT
• Providers in Draper, UT by specialty
• Sports Physician Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.