Organization Active NPI

Goble Heal Chiropractic PC

  • Chiropractor
  • Winamac, IN
National Provider Identifier
1649288689
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001280A
Legal business name
GOBLE HEAL CHIROPRACTIC PC
Practice address
116 E Pearl Street
Winamac, IN 46996
Phone
(574) 946-4113
Fax
(574) 946-4552
NPI assigned
Aug 4, 2006
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Dr. Mark A Heal, DCNPI 1174726970
Title
Ceo
Phone
(574) 946-4113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08000878A
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 08001280A Primary

Addresses

Primary practice location

116 E Pearl Street
Winamac, IN 46996

Mailing address

PO Box 250
116 E Pearl Street
Winamac, IN 46996
Phone (574) 946-4113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000933 IN Part B Supplier - Clinic/Group Practice 4789637497 Receives reassigned benefits from 6 practitioners
Practice locations: Lafayette, IN; Winamac, IN; Rochester, IN

National Provider Directory

National Provider Directory

Locations

132 W Main St
Camden, IN 46917
Phone (574) 686-2022

800 Main St
Rochester, IN 46975
Phone (574) 223-5557

116 E Pearl St
Winamac, IN 46996
Phone (574) 946-4113

1206 S Monticello St
Winamac, IN 46996
Phone (574) 946-4113

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1649288689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "address_2": "116 E PEARL STREET",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "46996",
            "telephone_number": "574-946-4113",
            "fax_number": "574-946-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E PEARL STREET",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "46996",
            "telephone_number": "574-946-4113",
            "fax_number": "574-946-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOBLE HEAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "HEAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-946-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "08000878A",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "08001280A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winamac, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.

Verify at the official NPI Registry.