Gabriel Goldman Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

30832 Issued in CA

Legal business name

GABRIEL GOLDMAN CHIROPRACTIC PROFESSIONAL CORPORATION

Practice address

1004 NW Milwaukee Ave Ste 200
Bend, OR 97703-2245

Phone

(949) 336-0025

Fax

(949) 336-0026

NPI assigned

Jan 2, 2012

Last updated

Jun 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Seth Goldman, DCNPI 1376707596

Title

President / Chiropractor

Phone

(949) 336-0025

Specialties & licenses 1

Addresses

Other names 1

• OC Chiropractic Care Other name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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.

• Gabriel Seth Goldman, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1376707596
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1790055119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 NW MILWAUKEE AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032245",
            "telephone_number": "949-336-0025",
            "fax_number": "949-336-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 NW MILWAUKEE AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032245",
            "telephone_number": "949-336-0025",
            "fax_number": "949-336-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 S Bristol St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927047314",
            "country_code": "US",
            "telephone_number": "949-336-0025",
            "fax_number": "949-336-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Bristol St Ste G104",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926267912",
            "country_code": "US",
            "telephone_number": "949-336-0025",
            "fax_number": "949-336-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GABRIEL GOLDMAN CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-02",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT / CHIROPRACTOR",
        "authorized_official_telephone_number": "949-336-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC Chiropractic Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OC Chiropractic Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.