Individual provider Active NPI

William Everett Good, D.C.

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1629233010
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05210 Issued in KS
Practice address
11124 E 28TH St N
Suite 110
Wichita, KS 67226-4562
Phone
(316) 613-2004
Fax
(316) 613-2004
NPI assigned
Jul 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05210 KS Primary

Addresses

Primary practice location

11124 E 28TH St N
Suite 110
Wichita, KS 67226-4562

Mailing address

11124 E 28TH St N
Suite 110
Wichita, KS 67226-4562
Phone (316) 613-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000044 KS Practitioner - Chiropractic 0941376081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11124 E 28TH St N
Suite 110
Wichita, KS 67226-4563
Phone (316) 613-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05210KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Chiropractic & Acupuncture LLC. Chiropractor CurrentSince Aug 8, 2008 Accepting new patients

Locations

11124 E 28th St N
Ste 110
Wichita, KS 67226
Phone (316) 613-2004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1629233010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 E 28TH ST N",
            "address_2": "SUITE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264562",
            "telephone_number": "316-613-2004",
            "fax_number": "316-613-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 E 28TH ST N",
            "address_2": "SUITE 110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264562",
            "telephone_number": "316-613-2004",
            "fax_number": "316-613-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "WILLIAM",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.

Verify at the official NPI Registry.