Matthew E Goltl, DC, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04220 Issued in KS

Legal business name

MATTHEW E GOLTL, DC, PA

Practice address

800 E 1St St N
Suite 350
Wichita, KS 67202-2787

Phone

(316) 262-6665

Fax

(316) 262-6649

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Leslee Piotrowski

Title

Office Manager

Phone

(316) 262-6665

Specialties & licenses 2

Addresses

Other names 1

• Old Town Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801005814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST N",
            "address_2": "SUITE 350",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022787",
            "telephone_number": "316-262-6665",
            "fax_number": "316-262-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST N",
            "address_2": "SUITE 350",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672022787",
            "telephone_number": "316-262-6665",
            "fax_number": "316-262-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW E GOLTL, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIOTROWSKI",
        "authorized_official_first_name": "LESLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-262-6665",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04220",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Town Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Wichita, KS
• Providers in Wichita, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.