Active NPI
William R Goff
- Rehabilitation Chiropractor
- Richmond, VA
National Provider Identifier
1861025124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 0104-557627
- Practice address
- 3026A W Cary St
Richmond, VA 23221-3502 - Phone
- (804) 999-8418
- NPI assigned
- Feb 14, 2020
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 0104-557627 | VA | Primary |
Addresses
Primary practice location
3026A W Cary St
Richmond, VA 23221-3502
Mailing address
3026A W Cary St
Richmond, VA 23221-3502
Phone (804) 999-8418
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104-557627 | VA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Chiro Floyd LLC | Single Specialty | Current | Accepting new patients |
Locations
2240 Old Brick Rd
Ste B
Glen Allen, VA 23060
Phone (804) 923-2476
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": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1861025124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3026A W CARY ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232213502",
"telephone_number": "804-999-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3026A W CARY ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232213502",
"telephone_number": "804-999-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "WILLIAM",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "VA",
"license": "0104-557627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.