Jeremy Noel Gonzalez

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003486A Issued in IN

Practice address

12 Elston Rd
Lafayette, IN 47909-7000

Phone

(765) 477-7707

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Goble Heal Chiropractic PCGroup PAC ID 4789637497, 5 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goble Heal Chiropractic PC

  • Chiropractor
  • Winamac, IN
  • NPI 1649288689
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1548078009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELSTON RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479097000",
            "telephone_number": "765-477-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELSTON RD",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479097000",
            "telephone_number": "765-477-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JEREMY",
        "middle_name": "NOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003486A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Gomez, MSW, LSW
• Ruth Yamileb Gomez
• Bilal Gondal, M.D.
• Addie Leigh Gonzalez, RN
• Carmen H Gonzalez, M.D.
• Madison Hope Gonzalez
• Yolanda Y Gonzalez, RNC NP
• Becky S Good, CFNP
• Emily Ann Goodman, MD
• Irene M Gordon, MD

• Chiropractor in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.