Active NPI
Goffe Chiropractic Center, Inc.
- Chiropractor
- Dayton, OH
National Provider Identifier
1649483264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1792
- Legal business name
- GOFFE CHIROPRACTIC CENTER, INC.
- Doing business as
- Vital Health Wellness Center
- Practice address
- 380 Regency Ridge Dr
Dayton, OH 45459-4251 - Phone
- (937) 435-1895
- Fax
- (937) 435-1884
- NPI assigned
- May 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory A. Goffe, D.C.
- Title
- President
- Phone
- (937) 435-1895
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1792 | OH | Primary |
Addresses
Primary practice location
380 Regency Ridge Dr
Dayton, OH 45459-4251
Mailing address
380 Regency Ridge Dr
Dayton, OH 45459-4251
Phone (937) 435-1895
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0807661 | Other | OH | AETNA |
| 0968458 | Medicaid | OH | |
| 000000020645 | Other | OH | ANTHEM |
| 44-20167 | Other | OH | UHC |
Other names 1
- Vital Health Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
387 Regency Ridge Dr
Dayton, OH 45459
Phone (937) 435-1194
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Dayton, OH
- NPI 1093938763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713312000000",
"number": "1649483264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 REGENCY RIDGE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594251",
"telephone_number": "937-435-1895",
"fax_number": "937-435-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 REGENCY RIDGE DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594251",
"telephone_number": "937-435-1895",
"fax_number": "937-435-1884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOFFE CHIROPRACTIC CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A",
"authorized_official_last_name": "GOFFE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-435-1895",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OH",
"license": "1792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0807661",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0968458",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000020645",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "44-20167",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Health Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.