Jason Robert Golec, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8311 Issued in AZ

Practice address

4234 E Western Dr
Cottonwood, AZ 86326-5828

Phone

(928) 646-7228

Fax

(928) 634-7288

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dahl Chiropractic Clinics

  • Chiropractor
  • Flagstaff, AZ
  • NPI 1891549218
  NPD (past)
• Nelson Chiropractic, Inc.

  • Chiropractor
  • Cottonwood, AZ
  • NPI 1578824678
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1598837478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 E WESTERN DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265828",
            "telephone_number": "928-646-7228",
            "fax_number": "928-634-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 E WESTERN DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863265828",
            "telephone_number": "928-646-7228",
            "fax_number": "928-634-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEC",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002289A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200856870A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "250100C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aws Ghanem, MD
• Joshua Joseph Gibbons, DO
• Deborah Gilsmer
• Glenn M Lipton MD PC
• Sheri Joy Glick, MS, CCC-SLP
• Melissa Golladay, R.PH.
• Casey Goniwiecha
• Ryan Raquel Gonzales, D.D.S.
• Noe Israel Gonzalez
• Goodwill Industries -Cottonwood

• Chiropractor in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.