Organization Active NPI

Goodwin and Goodwin PLLC

  • Chiropractor
  • Tupelo, MS
National Provider Identifier
1780026484
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
82 Issued in MS
Legal business name
GOODWIN AND GOODWIN PLLC
Practice address
1444 Cliff Gookin Blvd
Tupelo, MS 38801-6477
Phone
(662) 842-2500
Fax
(662) 842-2500
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Robert Len Goodwin, DC
Title
Owner/Doctor
Phone
(662) 842-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 82 MS Primary

Addresses

Primary practice location

1444 Cliff Gookin Blvd
Tupelo, MS 38801-6477

Mailing address

1444 Cliff Gookin Blvd
Tupelo, MS 38801-6477
Phone (662) 842-2500

National Provider Directory

National Provider Directory

Locations

1444 Cliff Gookin Blvd
Tupelo, MS 38801
Phone (601) 842-2500

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1780026484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016477",
            "telephone_number": "662-842-2500",
            "fax_number": "662-842-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 CLIFF GOOKIN BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016477",
            "telephone_number": "662-842-2500",
            "fax_number": "662-842-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN AND GOODWIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "662-842-2500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.