Kenneth Michael Goodman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

349688-1202 Issued in UT

Practice address

85 E State Road 73
Saratoga Springs, UT 84043-4823

Phone

(801) 766-0507

Fax

(801) 766-0838

NPI assigned

Oct 4, 2006

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 UT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1995

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.

• Goodman Chiropractic, LLC

  • Chiropractor
  • Saratoga Springs, UT
  • NPI 1245489012
  Medicare reassignment NPD Authorized official
• Heuser Chiropractic, P.C.

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1134523749
  NPD (past)
• Heuser Chiropractic, P.C.

  • Chiropractor
  • Colorado Springs, CO
  • NPI 1629277314
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700971587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E STATE ROAD 73",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840434823",
            "telephone_number": "801-766-0507",
            "fax_number": "801-766-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E STATE ROAD 73",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840434823",
            "telephone_number": "801-766-0507",
            "fax_number": "801-766-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "349688-1202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "71957",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marilyn Bonner Gerber, CSW
• Kiley Jo Germain
• Abigail Giordano
• Daniel Gomez-Torres, RBT
• Goodman Chiropractic, LLC
• Taylor Goodrich, M.S. CCC-SLP
• Aubree Graham, DPT
• Heidi Gray
• Greenwood Dental
• Bryan Glen Greenwood, D.D.S.

• Chiropractor in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.