Goodrum Health Enterprises PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5164 Issued in KS

Legal business name

GOODRUM HEALTH ENTERPRISES PA

Practice address

153 W 151St St
Suite 150
Olathe, KS 66061-5348

Phone

(913) 390-9355

Fax

(913) 390-9356

NPI assigned

Mar 23, 2009

Last updated

Mar 23, 2009By 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. Jeremy Lyn Goodrum, D.C.NPI 1912187006

Title

Owner

Phone

(913) 390-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

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.

• Jeremy Lyn Goodrum, D.C.

  • Chiropractor
  • Wellington, KS
  • NPI 1912187006
  Medicare reassignment NPD Authorized official
• Amanda Buchanan, D.C.

  • Chiropractor
  • Olathe, KS
  • NPI 1578963278
  NPD (past)
• Larry J Pacey, DC

  • Chiropractor
  • Wellington, KS
  • NPI 1720170699
  NPD (past)
• Leslie Reece, DC

  • Chiropractor
  • Olathe, KS
  • NPI 1710499579
  NPD (past)
• Steven Reece

  • Chiropractor
  • Olathe, KS
  • NPI 1588064356
  NPD (past)
• Shelby L Waldman, D.C.

  • Chiropractor
  • Olathe, KS
  • NPI 1225391063
  NPD (past)
• Riley Cooper, DC

  • Chiropractor
  • Monroe City, MO
  • NPI 1902698822
  NPD (past)

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1669613550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "address_2": "SUITE 150",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615348",
            "telephone_number": "913-390-9355",
            "fax_number": "913-390-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 W 151ST ST",
            "address_2": "SUITE 150",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615348",
            "telephone_number": "913-390-9355",
            "fax_number": "913-390-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODRUM HEALTH ENTERPRISES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "GOODRUM",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-390-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Gomez, AUD
• Hannah Gonzalez
• Good Shepherd Hospice of Mid-America Inc
• Tasha Goode, INTERN
• Lillian Adelle Goodman, NP
• Kiernan Goodwin
• Willard Gordon, DO
• Natalie Susanne Gorman, LMSW
• Cheryl Ann Gorrell, LPC, LCPC
• Hal F Gottfried

• Chiropractor in Olathe, KS
• Providers in Olathe, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.