Individual provider Active NPI

Gregory Paul Goihl, D.C

  • Chiropractor
  • Lake City, MN
National Provider Identifier
1639250368
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4110 Issued in MN
Practice address
105 S Lakeshore Dr
Lake City, MN 55041-1640
Phone
(651) 345-4140
Fax
(651) 345-4240
NPI assigned
Oct 18, 2006
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4110 MN Primary

Addresses

Primary practice location

105 S Lakeshore Dr
Lake City, MN 55041-1640

Mailing address

105 S Lakeshore Dr
Lake City, MN 55041-1640
Phone (651) 345-4140

Other identifiers 1

IdentifierTypeStateIssuer
058H2GOOtherMNBCBC PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316001083 MN Practitioner - Chiropractic 9739079690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1215 N 7TH St
Suite 114
Lake City, MN 55041-1266
Phone (651) 345-4140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4110MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory P Goihl P.a Chiropractor CurrentSince Sep 1, 2002 Accepting new patients
Schulz Chiropractic Inc Chiropractor PastSince Feb 1, 2004 Accepting new patients
Coulson Chiropractic, LLC Chiropractor PastSince Aug 13, 2007 Accepting new patients

Locations

105 S Lakeshore Dr
Lake City, MN 55041
Phone (651) 345-4140

1215 N 7th St
Ste 114
Lake City, MN 55041
Phone (651) 345-4140

13800 83rd Way N
Ste 108
Maple Grove, MN 55369
Phone (763) 273-5486

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1639250368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S LAKESHORE DR",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411640",
            "telephone_number": "651-345-4140",
            "fax_number": "651-345-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S LAKESHORE DR",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411640",
            "telephone_number": "651-345-4140",
            "fax_number": "651-345-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOIHL",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC PROVIDER NUMBER",
            "identifier": "058H2GO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.