Active NPI
Lawrence Goodstein, D.C.
- Chiropractor
- Seekonk, MA
National Provider Identifier
1619028560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00396
- Practice address
- 9 Jean Dr
Seekonk, MA 02771-3222 - Phone
- (508) 272-4448
- NPI assigned
- Jan 16, 2007
- Last updated
- Aug 21, 2014
- 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 | DCP00396 | RI | Primary |
Addresses
Primary practice location
9 Jean Dr
Seekonk, MA 02771-3222
Mailing address
9 Jean Dr
Seekonk, MA 02771-3222
Phone (508) 272-4448
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007056551 | Other | MA | PTAN |
| 27287-0 | Other | RI | BCBS OF RI |
| 405836 | Other | RI | BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120905000252 | MA | Practitioner - Chiropractic | 1557345824 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DCP00396 | RI | MD | Chiropractor |
| 2302 | MA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manzolillo Chiropractic Center Inc. | Past | Accepting new patients | |
| Spinal Health & Rehab Center LLC | Chiropractor | Past | Accepting new patients |
| Orthopedic Appliance & Brace Center Inc. | Past | Accepting new patients |
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.
-
- Clinic/Center
- Providence, RI
- NPI 1043491368
-
- Prosthetic/Orthotic Supplier
- Providence, RI
- NPI 1376690982
-
- Chiropractor
- Barrington, RI
- NPI 1336281658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1619028560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 JEAN DR",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713222",
"telephone_number": "508-272-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 JEAN DR",
"city": "SEEKONK",
"state": "MA",
"postal_code": "027713222",
"telephone_number": "508-272-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSTEIN",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "007056551",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF RI",
"identifier": "27287-0",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "405836",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seekonk, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.