Organization Active NPI

Gregory P Goihl P.a

  • Chiropractor
  • Lake City, MN
National Provider Identifier
1740337484
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4110 Issued in MN
Legal business name
GREGORY P GOIHL P.A
Practice address
105 S Lakeshore Dr
Lake City, MN 55041-1640
Phone
(651) 345-4140
Fax
(651) 345-4240
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Gregory Paul Goihl, DCNPI 1639250368
Title
Owner
Phone
(651) 345-4140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4110 MN Primary

Addresses

Primary practice location

105 S Lakeshore Dr
Lake City, MN 55041-1640

Mailing address

105 S Lakeshore Dr
Lake City, MN 55041-1640
Phone (651) 345-4140

Other identifiers 1

IdentifierTypeStateIssuer
058H2GOOtherMNBCBS PROVIDER NUMBER

Other names 1

  • Goihl Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070115000315 MN Part B Supplier - Clinic/Group Practice 9436147576 Receives reassigned benefits from 1 practitioner
Practice locations: Lake City, MN

National Provider Directory

National Provider Directory

Locations

105 S Lakeshore Dr
Lake City, MN 55041
Phone (651) 345-4140

1215 N 7th St
Ste 114
Lake City, MN 55041
Phone (651) 345-4140

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1740337484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S LAKESHORE DR",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411640",
            "telephone_number": "651-345-4140",
            "fax_number": "651-345-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S LAKESHORE DR",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411640",
            "telephone_number": "651-345-4140",
            "fax_number": "651-345-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY P GOIHL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GOIHL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-345-4140",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "058H2GO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goihl Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.