Robert Grant Goodwin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1982 Issued in OH

Practice address

4130 Linden Ave Ste 125
Dayton, OH 45432-3073

Phone

(937) 221-9387

Fax

(937) 660-4066

NPI assigned

Feb 7, 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 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dayton Pain Center LLC

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1790730638
  Medicare reassignment NPD
• Goodwin Chiropractic LLC

  • Chiropractor
  • Dayton, OH
  • NPI 1467984740
  NPD Authorized official
• Prime Health Medical Services

  • Pain Clinic/Center
  • Dayton, OH
  • NPI 1124298443

  Chiropractor

  NPD
• Preferred Chiropractic LLC

  • Chiropractor
  • Dayton, OH
  • NPI 1942392154
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1487626040",
    "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": "937-221-9387",
            "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": "937-221-9387",
            "fax_number": "937-660-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ROBERT",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "311725337027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0994081",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Goodwin, CDCA
• Lashawnita Denise Goodwin
• Mark William Goodwin, MFN, RDN, LD
• Michael Clifford Goodwin, QMHS, CDCA
• Rebecca Lynn Goodwin
• Joshua Gootzeit, PHD
• Girija Gopalswamy, MD
• Gordon a Harris PH D & Associates Inc
• Roland Gordon Jr, QMHS
• Allison Gordon

• Chiropractor in Dayton, OH
• Providers in Dayton, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.