Active NPI
Matthew Ryan Goodrich, D.C.
- Chiropractor
- Boone, IA
National Provider Identifier
1578814968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007540
- Practice address
- 1321 SE Marshall St
Boone, IA 50036-7519 - Phone
- (515) 577-8932
- NPI assigned
- Sep 25, 2012
- Last updated
- Jan 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007540 | IA | Primary |
Addresses
Primary practice location
1321 SE Marshall St
Boone, IA 50036-7519
Mailing address
917 S Kennedy Ave TRLR 26
Madrid, IA 50156-9600
Phone (515) 577-8932
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007540 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1578814968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 S KENNEDY AVE TRLR 26",
"city": "MADRID",
"state": "IA",
"postal_code": "501569600",
"telephone_number": "515-577-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 SE MARSHALL ST",
"city": "BOONE",
"state": "IA",
"postal_code": "500367519",
"telephone_number": "515-577-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODRICH",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-25",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boone, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.