Kenneth M Goldman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005180-L Issued in PA

Practice address

402 Middletown Blvd
Suite 210
Langhorne, PA 19047-1818

Phone

(215) 750-8006

Fax

(215) 750-8007

NPI assigned

Apr 10, 2006

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tucker Chiropractic CenterGroup PAC ID 4789618919, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tucker Chiropractic Center

  • Chiropractor
  • Langhorne, PA
  • NPI 1336193564
  Medicare reassignment Care Compare group NPD
• Bucks Dermatology Associates PC

  • Dermatology Physician
  • Langhorne, PA
  • NPI 1457332314
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1801859087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 DUNGAN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152201",
            "telephone_number": "215-969-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MIDDLETOWN BLVD",
            "address_2": "SUITE 210",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471818",
            "telephone_number": "215-750-8006",
            "fax_number": "215-750-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005180-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0043800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE, KEYSTONE",
            "identifier": "0638217000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11211721",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth L. Gold, PSY.D.
• Fredric Howard Goldberg, MD
• Omela Golden
• Richard M Goldfarb, M D FACS LLC
• Craig Andrew Goldman, RPH
• Wendy Brooke Goldman, RD, LDN
• Richard S Goldstein, M.D.
• Allison L Goldstrohm, CRNP
• Jaclyn Gonzalez
• Kyle David Goodman

• Chiropractor in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.

Verify at the official NPI Registry.