Active NPI
Eric Goodman, ATC
- Athletic Trainer
- Dover, NH
National Provider Identifier
1821124652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0064
- Practice address
- 25 Alumni Dr
Dover High School
Dover, NH 03820-4367 - Phone
- (603) 516-6953
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0064 | NH | Primary |
Addresses
Primary practice location
25 Alumni Dr
Dover High School
Dover, NH 03820-4367
Mailing address
11 Hersey LN
Newmarket, NH 03857-2039
Phone (603) 490-7466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0064 | NH | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821124652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HERSEY LN",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038572039",
"telephone_number": "603-490-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ALUMNI DR",
"address_2": "DOVER HIGH SCHOOL",
"city": "DOVER",
"state": "NH",
"postal_code": "038204367",
"telephone_number": "603-516-6953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NH",
"license": "0064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.