Active NPI
Robert Lucas Goetz, DC
- Chiropractor
- Clinton, IA
National Provider Identifier
1588168397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 091301
- Practice address
- 1608 S 19TH St
Clinton, IA 52732-6702 - Phone
- (563) 242-2002
- NPI assigned
- Mar 19, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 091301 | IA | Primary |
Addresses
Primary practice location
1608 S 19TH St
Clinton, IA 52732-6702
Mailing address
5601 Eastern Ave Apt D4
Davenport, IA 52807-2796
Phone (608) 293-3195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2420 Finger Rd
Green Bay, WI 54302-4210
Phone (920) 465-6040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091301 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Michael W Zoelle SC | Chiropractor | Current | Accepting new patients |
| The Chiropractic Advantage LLC | Chiropractor | Current | Accepting new patients |
| Todd M Slattery P C | Chiropractor | Past | Accepting new patients |
Locations
645 W Ridgeview Dr
Appleton, WI 54911
Phone (920) 997-9740
2420 Finger Rd
Green Bay, WI 54302
Phone (920) 465-6040
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 and National Provider Directory roles.
-
- Chiropractor
- Green Bay, WI
- NPI 1770601791
-
- Chiropractor
- Appleton, WI
- NPI 1336420751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1588168397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 EASTERN AVE APT D4",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072796",
"telephone_number": "608-293-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 S 19TH ST",
"city": "CLINTON",
"state": "IA",
"postal_code": "527326702",
"telephone_number": "563-242-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "ROBERT",
"middle_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "091301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.