Organization Active NPI

Maggie Goodyear Inc.

Doing business as Goodyear Wellness

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1720478787
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10706 Issued in FL
Legal business name
MAGGIE GOODYEAR INC.
Doing business as
Goodyear Wellness
Practice address
912 Drew St
Suite 104
Clearwater, FL 33755-4550
Phone
(727) 441-8447
Fax
(727) 462-2961
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Dr. Maggie Goodyear, D.C.
Title
President
Phone
(727) 441-8447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10706 FL Primary

Addresses

Primary practice location

912 Drew St
Suite 104
Clearwater, FL 33755-4550

Mailing address

912 Drew St
Suite 104
Clearwater, FL 33755-4550
Phone (727) 441-8447

Other names 1

  • Goodyear Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

912 Drew St
Ste 104
Clearwater, FL 33755
Phone (727) 441-8447

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1720478787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 DREW ST",
            "address_2": "SUITE 104",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554550",
            "telephone_number": "727-441-8447",
            "fax_number": "727-462-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 DREW ST",
            "address_2": "SUITE 104",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337554550",
            "telephone_number": "727-441-8447",
            "fax_number": "727-462-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE GOODYEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "GOODYEAR",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-441-8447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodyear Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.