NPIMap

Organization Active NPI

In8 Inc

Doing business as Goozdich Family Chiropractic and Wellness Center

  • Chiropractor
  • Amherst, OH
National Provider Identifier
1750602330
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
LICENSE UNDER PHYSIC Issued in NU
Legal business name
IN8 INC
Doing business as
Goozdich Family Chiropractic and Wellness Center
Practice address
113 N Leavitt Rd
Amherst, OH 44001-1100
Phone
(440) 985-5505
Fax
(440) 985-5505
NPI assigned
Jun 17, 2010
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Mitchell Goozdich, DCNPI 1073508503
Title
President
Phone
(440) 985-5505

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
Chiropractor 111N00000X LICENSE UNDER PHYSIC NU Primary

Addresses

Primary practice location

113 N Leavitt Rd
Amherst, OH 44001-1100

Mailing address

113 N Leavitt Rd
Amherst, OH 44001-1100
Phone (440) 985-5505

Other names 1

  • Goozdich Family Chiropractic and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110228000309 OH Part B Supplier - Clinic/Group Practice 4789865569 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1750602330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011100",
            "telephone_number": "440-985-5505",
            "fax_number": "440-985-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011100",
            "telephone_number": "440-985-5505",
            "fax_number": "440-985-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN8 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "GOOZDICH",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-985-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": "LICENSE UNDER PHYSIC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goozdich Family Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.