Individual provider Active NPI

Jeffrey Ian Goldwasser, DC

  • Chiropractor
  • Sylva, NC
National Provider Identifier
1831363415
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2602 Issued in NC
Practice address
256 Marsh Lily Dr
Sylva, NC 28779-9477
Phone
(828) 586-1043
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2602 NC Primary

Addresses

Primary practice location

256 Marsh Lily Dr
Sylva, NC 28779-9477

Mailing address

256 Marsh Lily Dr
Sylva, NC 28779-9477
Phone (828) 586-1043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120410000016 NC Practitioner - Chiropractic 4082875653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Family Chiropractic PCGroup PAC ID 1658477138, 3 clinicians

Practice addresses (Care Compare)

73 W Main St
Sylva, NC 28779-2925
Phone (828) 587-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2602NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Family Chiropractic, PC Chiropractor CurrentSince Mar 12, 2014 Accepting new patients

Locations

73 W Main St
Sylva, NC 28779
Phone (828) 587-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1831363415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 MARSH LILY DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799477",
            "telephone_number": "828-586-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MARSH LILY DR",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799477",
            "telephone_number": "828-586-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWASSER",
        "first_name": "JEFFREY",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.