Organization Active NPI

Goodwin Chiropractic LLC

  • Chiropractor
  • Dayton, OH
National Provider Identifier
1467984740
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GOODWIN CHIROPRACTIC LLC
Practice address
4130 Linden Ave Ste 125
Dayton, OH 45432-3073
Phone
(937) 952-6567
Fax
(937) 660-4066
NPI assigned
Mar 28, 2017
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Dr. Robert Grant Goodwin, D.C.NPI 1487626040
Title
President
Phone
(937) 952-6567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X OH Primary

Addresses

Primary practice location

4130 Linden Ave Ste 125
Dayton, OH 45432-3073

Mailing address

4130 Linden Ave Ste 125
Dayton, OH 45432-3073
Phone (937) 952-6567

National Provider Directory

National Provider Directory

Locations

4130 Linden Ave
Ste 125
Dayton, OH 45432
Phone (937) 221-9387

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1467984740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 125",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323073",
            "telephone_number": "937-952-6567",
            "fax_number": "937-660-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LINDEN AVE STE 125",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323073",
            "telephone_number": "937-952-6567",
            "fax_number": "937-660-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-952-6567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.