Individual provider Active NPI

Kevin Allen Goyke, D.C.

  • Chiropractor
  • Geneva, IL
National Provider Identifier
1548226194
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007575 Issued in IL
Practice address
2401 Kaneville Rd Ste 3
Geneva, IL 60134-2577
Phone
(630) 715-1183
NPI assigned
Apr 24, 2006
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007575 IL Primary

Addresses

Primary practice location

2401 Kaneville Rd Ste 3
Geneva, IL 60134-2577

Mailing address

2401 Kaneville Rd
Ste 3
Geneva, IL 60134-2577
Phone (630) 715-1183

Other identifiers 1

IdentifierTypeStateIssuer
4508648OtherILBLUE CROSS BLUE SHIELD

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
038007575ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Health Care, PLLC Chiropractor CurrentSince Jun 18, 2023 Accepting new patients
Scott B. Eckelbarger D.C. - P.C. Chiropractor Past Accepting new patients

Locations

2401 Kaneville Rd
Ste 3
Geneva, IL 60134
Phone (630) 715-1183

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1548226194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 KANEVILLE RD",
            "address_2": "STE 3",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342577",
            "telephone_number": "630-715-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KANEVILLE RD STE 3",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342577",
            "telephone_number": "630-715-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOYKE",
        "first_name": "KEVIN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4508648",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.