Active NPI
Goodwin Chiropractic Center
- Chiropractor
- Summersville, WV
National Provider Identifier
1790883577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 775
- Legal business name
- GOODWIN CHIROPRACTIC CENTER
- Practice address
- 1018 Broad St
Summersville, WV 26651-1711 - Phone
- (304) 872-1006
- Fax
- (304) 872-5994
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Goodwin, D.C.
- Title
- Clinic Director
- Phone
- (304) 872-1006
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 775 | WV | Primary |
Addresses
Primary practice location
1018 Broad St
Summersville, WV 26651-1711
Mailing address
1018 Broad St
Summersville, WV 26651-1711
Phone (304) 872-1006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1018 Broad St
Summersville, WV 26651
Phone (304) 872-1006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Summersville, WV
- NPI 1821196692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1790883577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 BROAD ST",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511711",
"telephone_number": "304-872-1006",
"fax_number": "304-872-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 BROAD ST",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511711",
"telephone_number": "304-872-1006",
"fax_number": "304-872-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWIN CHIROPRACTIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "304-872-1006",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WV",
"license": "775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.