Individual provider Active NPI

Charles M Goodwin, D.C.,L.AC

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1457492639
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC6842 Issued in CA
Practice address
111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626
Phone
(831) 429-1188
Fax
(831) 429-1396
NPI assigned
Feb 9, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17690 CA
Acupuncturist 171100000X AC6842 CA Primary

Addresses

Primary practice location

111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626

Mailing address

111 Dakota Ave Ste 2
Santa Cruz, CA 95060-6626
Phone (831) 429-1188

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
AC6842CAMDAcupuncturist
17690CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457492639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAKOTA AVE STE 2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606626",
            "telephone_number": "831-429-1188",
            "fax_number": "831-429-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAKOTA AVE STE 2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606626",
            "telephone_number": "831-429-1188",
            "fax_number": "831-429-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "D.C.,L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17690",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.