Organization Active NPI

Holly Goodwin, LLC

Doing business as Goodwin Chiropractic

  • Chiropractor
  • Draper, UT
National Provider Identifier
1790017770
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3583261202 Issued in UT
Legal business name
HOLLY GOODWIN, LLC
Doing business as
Goodwin Chiropractic
Practice address
1111 Draper Pkwy
Suite 100
Draper, UT 84020-9044
Phone
(801) 542-0058
Fax
(801) 542-0062
NPI assigned
Feb 2, 2010
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mrs. Holly Goodwin
Title
Owner
Phone
(801) 542-0058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3583261202 UT Primary

Addresses

Primary practice location

1111 Draper Pkwy
Suite 100
Draper, UT 84020-9044

Mailing address

1111 Draper Pkwy
Suite 100
Draper, UT 84020-9044
Phone (801) 542-0058

Other names 1

  • Goodwin Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1111 E Draper Pkwy
Ste 100
Draper, UT 84020
Phone (470) 955-7088

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1790017770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DRAPER PKWY",
            "address_2": "SUITE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209044",
            "telephone_number": "801-542-0058",
            "fax_number": "801-542-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DRAPER PKWY",
            "address_2": "SUITE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209044",
            "telephone_number": "801-542-0058",
            "fax_number": "801-542-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY GOODWIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-542-0058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "3583261202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodwin Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.