Individual provider Active NPI

Charles Goshorn, D.C.

  • Chiropractor
  • Webster, NY
National Provider Identifier
1851344675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005692 Issued in NY
Practice address
725 Ridge Rd
Webster, NY 14580-2450
Phone
(585) 671-0934
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005692 NY Primary

Addresses

Primary practice location

725 Ridge Rd
Webster, NY 14580-2450

Mailing address

725 Ridge Rd
Webster, NY 14580-2450
Phone (585) 671-0934

Other names 1

  • Mr. Charles Goshorn Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111104000003 NY Practitioner - Chiropractic 8921067836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goshorn Chiropractic P.C.Group PAC ID 7214996123, 4 clinicians

Practice addresses (Care Compare)

725 Ridge Rd
Webster, NY 14580-2450
Phone (585) 671-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005692NYMDMental Health Counselor
X005692NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Goshorn Chiropractic P.C. Chiropractor CurrentSince Mar 1, 1989 Accepting new patients
Highland Hospital of Rochester PastSince Mar 31, 2000 Accepting new patients

Locations

725 Ridge Rd
Webster, NY 14580
Phone (585) 671-0934

Organizations & group practices 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851344675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "GOSHORN",
            "prefix": "MR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Webster, NY

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.
  • 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.