Goebel Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001017A Issued in IN

Legal business name

GOEBEL CHIROPRACTIC

Practice address

4309 W Jefferson Blvd
Fort Wayne, IN 46804-6819

Phone

(260) 436-3783

Fax

(260) 432-2330

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harold John Goebel Jr., D.C.

Title

Chiropractor

Phone

(260) 436-3783

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Gary Lee Hopkins, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1437113594
  NPD (past)
• Tatiana Castillo Simpson, DC

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1396490595
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1710012240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046819",
            "telephone_number": "260-436-3783",
            "fax_number": "260-432-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046819",
            "telephone_number": "260-436-3783",
            "fax_number": "260-432-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOEBEL CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "260-436-3783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001017A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200853970A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000387716",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000087061",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goddard Medical Services LLC
• Eric M. Goddard, PA-C
• Sean Goddard, MSN, APRN, PMNHP-C,
• Robert W Godley, MD
• Jule L. Godsey, LCAC, MMHC
• Harold John Goebel Jr., D.C.
• Jaime Goebel
• Allison Goepfrich
• David A Goertzen, MD
• Lauren Goertzen, DMD

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.