Martin John Goulooze, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3688 Issued in AZ

Practice address

1850 McCulloch Blvd N Ste C5
Lake Havasu City, AZ 86403-5798

Phone

(928) 855-1220

Fax

(928) 855-1221

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sun Chiropractic PLLC

  • Chiropractor
  • Sun City West, AZ
  • NPI 1982336541
  Medicare reassignment NPD Authorized official
• Craig Alan Davis

  • Chiropractor
  • Lake Havasu City, AZ
  • NPI 1184815573
  NPD (past)
• Diduro Chiropractic & Associates PC

  • Neurology Chiropractor
  • Casa Grande, AZ
  • NPI 1215125620
  NPD (past)
• Diduro Chiropractic and Associates PC

  • Neurology Chiropractor
  • Phoenix, AZ
  • NPI 1639458219
  NPD (past)
• Reed Chiropractic Center, Inc.

  • Chiropractor
  • Sun City West, AZ
  • NPI 1346576592
  NPD (past)
• Southwest Multicare II

  • Rehabilitation Chiropractor
  • Scottsdale, AZ
  • NPI 1639338924
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1700915519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 W MEEKER BLVD STE 7",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853754431",
            "telephone_number": "602-618-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 MCCULLOCH BLVD N STE C5",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035798",
            "telephone_number": "928-855-1220",
            "fax_number": "928-855-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULOOZE",
        "first_name": "MARTIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AZ152098",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lara Goodell, P.T.A.
• Kathryn Goodrich, SLP
• Robert J Goodrich, MD CST
• Goodwill of Northern Arizona
• Aditya R Goud, M.D.
• GR LHC, LLC
• Christian L Grandell, PA-C
• Benjamin Gray
• Kristie Grayhek, NP
• Tammy Lee Green

• Chiropractor in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.