Kenneth W. Gober, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2050 Issued in WA

Practice address

12826 SE 40TH LN
Ste. 105
Bellevue, WA 98006-4278

Phone

(425) 746-0420

Fax

(425) 746-1587

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gober Chiropractic Center

  • Chiropractor
  • Bellevue, WA
  • NPI 1992934426
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1831268853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN",
            "address_2": "STE. 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064278",
            "telephone_number": "425-746-0420",
            "fax_number": "425-746-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN",
            "address_2": "STE. 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980064278",
            "telephone_number": "425-746-0420",
            "fax_number": "425-746-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBER",
        "first_name": "KENNETH",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006054",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "93335",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Glotfelty, M.A., CCC-SLP
• Erika Marie Glunz
• Maura Ellen Glynn-Thami
• Leela Gmyr, LMHC
• Gober Chiropractic Center
• Maddee Godfrey
• Olga Godina, M.D.
• John D Gofman, MD
• Lawrence Joseph Gogenola, MD
• Jeremy Gogoel

• Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.