Active NPI
Courtney Allen Goodchild, DC
- Chiropractor
- Dubuque, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 089620
- Practice address
- 2600 Dodge St. Plaza 20
Dubuque, IA 52003-5200 - Phone
- (563) 587-9081
- Fax
- (563) 587-9081
- NPI assigned
- Jan 8, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 089620 | IA | Primary |
Addresses
Primary practice location
2600 Dodge St. Plaza 20
Dubuque, IA 52003-5200
Mailing address
307 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-4063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
307 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-4063
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089620 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Function First Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
2600 Dodge St
#20
Dubuque, IA 52003
Phone (563) 556-8890
307 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4063
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Storm Lake, IA
- NPI 1588171920
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Storm Lake, IA
- NPI 1134191653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1801303243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 W 5TH ST",
"city": "STORM LAKE",
"state": "IA",
"postal_code": "505881743",
"telephone_number": "712-732-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 DODGE ST. PLAZA 20",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520035200",
"telephone_number": "563-587-9081",
"fax_number": "563-587-9081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODCHILD",
"first_name": "COURTNEY",
"middle_name": "ALLEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-08",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "089620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.