Individual provider Active NPI

William Park Goodman, DC

  • Chiropractor
  • Aiea, HI
National Provider Identifier
1710536735
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1501 Issued in HI
Practice address
99-080 Kauhale St Ste D9
Aiea, HI 96701-4114
Phone
(808) 452-1890
NPI assigned
Sep 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34119 CA
Chiropractor 111N00000X 1501 HI Primary

Addresses

Primary practice location

99-080 Kauhale St Ste D9
Aiea, HI 96701-4114

Mailing address

99-080 Kauhale St Ste D9
Aiea, HI 96701-4114
Phone (808) 452-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211130001717 HI Practitioner - Chiropractic 1951791235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66-590 Kamehameha Hwy
Suite 1B
Haleiwa, HI 96712

6619 Brotherhood Way
Fort Wayne, IN 46825-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1501HIMDGeneral Practice Dentistry
34119CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Chiropractic Aiea LLC Chiropractor CurrentSince Nov 9, 2021 Accepting new patients
Turning Point Chiropractic Inc Chiropractor CurrentSince Nov 10, 2021 Accepting new patients
Turning Point Chiropractic Waipio LLC Chiropractor PastSince Apr 1, 2026 Accepting new patients
Miguel Flores Chiropractic Apc Chiropractor PastSince Mar 1, 2021 Accepting new patients
Amp Sports Med Inc Chiropractor PastSince May 16, 2021 Accepting new patients
Turning Point Chiropractic Kapolei LLC Chiropractor PastSince Apr 1, 2026 Accepting new patients
Turning Point Chiropractic Ewa Beach LLC Chiropractor PastSince Apr 1, 2026 Accepting new patients

Locations

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 452-1890

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 483-4916

91-1001 Kaimalie St
Ste 106
Ewa Beach, HI 96706

66-590 Kamehameha Hwy
Ste 1B
Haleiwa, HI 96712
Phone (808) 291-2542

1144 10th Ave
Ste 201
Honolulu, HI 96816
Phone (808) 732-2355

95-390 Kuahelani Ave
Mililani, HI 96789
Phone (808) 621-8411

95-390 Kuahelani Ave
Ste 3E
Mililani, HI 96789
Phone (808) 376-2913

94-1221 Ka Uka Blvd
#B205
Waipahu, HI 96797
Phone (808) 388-7682

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1710536735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST STE D9",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014114",
            "telephone_number": "808-452-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST STE D9",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014114",
            "telephone_number": "808-452-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "WILLIAM",
        "middle_name": "PARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34119",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.