NPIMap

Organization Active NPI

Goss Chiropractic Clinic and Rehabilitation Center

  • Chiropractor
  • Hanover Township, PA
National Provider Identifier
1699795492
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5357L Issued in PA
Legal business name
GOSS CHIROPRACTIC CLINIC AND REHABILITATION CENTER
Practice address
1498 Sans Souci Parkway
Hanover Township, PA 18706
Phone
(570) 829-5888
Fax
(570) 970-2757
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Jerry Willis Goss, DCNPI 1730376542
Title
Owner
Phone
(570) 829-5888

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC5357L PA Primary

Addresses

Primary practice location

1498 Sans Souci Parkway
Hanover Township, PA 18706

Mailing address

1498 Sans Souci Parkway
Hanover Township, PA 18706
Phone (570) 829-5888

Other identifiers 1

IdentifierTypeStateIssuer
0014723000002MedicaidPA

National Provider Directory

National Provider Directory

Locations

1498 Sans Souci Pkwy
Hanover Township, PA 18706
Phone (570) 829-5888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1699795492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 SANS SOUCI PARKWAY",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "18706",
            "telephone_number": "570-829-5888",
            "fax_number": "570-970-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SANS SOUCI PARKWAY",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "18706",
            "telephone_number": "570-829-5888",
            "fax_number": "570-970-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSS CHIROPRACTIC CLINIC AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "GOSS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-829-5888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC5357L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014723000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.