Organization Active NPI

Godwin Chiropractic LLC

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1467760603
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2009024561 Issued in MO
Legal business name
GODWIN CHIROPRACTIC LLC
Doing business as
Godwin Chiropractic
Practice address
1139 Colonnade Ctr
Saint Louis, MO 63131-4328
Phone
(314) 239-3042
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Dr. Matthew Scott Godwin, D.C.
Title
Owner
Phone
(314) 239-3042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2009024561 MO Primary

Addresses

Primary practice location

1139 Colonnade Ctr
Saint Louis, MO 63131-4328

Mailing address

1139 Colonnade Ctr
Des Peres, MO 63131-4328
Phone (314) 239-3042

Other names 1

  • Godwin Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1139 Colonnade Ctr
Saint Louis, MO 63131
Phone (314) 239-3042

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1467760603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 COLONNADE CTR",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631314328",
            "telephone_number": "314-239-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 COLONNADE CTR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314328",
            "telephone_number": "314-239-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODWIN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-239-3042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2009024561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Godwin Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.