Goddard Chiropractic

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

KS 04020 Issued in KS

Legal business name

GODDARD CHIROPRACTIC

Practice address

701 N Goddard Rd
Ste. a
Goddard, KS 67052-8861

Phone

(316) 794-8410

Fax

(316) 794-8466

NPI assigned

Aug 24, 2007

Last updated

Aug 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Israel Villegas, D.C.NPI 1619072634

Title

Owner

Phone

(316) 794-8410

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Israel Villegas, D.C.

  • Chiropractor
  • Goddard, KS
  • NPI 1619072634
  NPD (past) Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1619160447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 436",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "67052",
            "telephone_number": "316-794-8410",
            "fax_number": "316-794-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N GODDARD RD",
            "address_2": "STE. A",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528861",
            "telephone_number": "316-794-8410",
            "fax_number": "316-794-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODDARD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-794-8410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "KS",
            "license": "KS 04020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "014211",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U05367",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PCC",
            "identifier": "KS2757",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Erker, DNP, APRN-C
• Stephanie Foley, PHARMD
• Danette Friedel
• Daniel P Geesaman
• Thomas A Gipson III
• Goddard Family Dental
• Goddard Orthodontics PA (Hansen Orthodontics)
• Goddard Unified School District #265
• Christine Harbert, CCC/L-SLP
• Micah Kenneth Harder, DPT

• Nutrition Chiropractor in Goddard, KS
• Providers in Goddard, KS by specialty
• Nutrition Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.