Active NPI
Henry L Goetz Jr., DC
- Chiropractor
- Clear Lake, IA
National Provider Identifier
1861467524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 02980
- Practice address
- 1524 Highway 18W
Clear Lake, IA 50428-1105 - Phone
- (641) 357-7189
- Fax
- (641) 357-7189
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 02980 | IA | Primary |
| Chiropractor | 111N00000X | 0104000343 | VA | |
| Chiropractor | 111N00000X | 0060000625 | VT |
Addresses
Primary practice location
1524 Highway 18W
Clear Lake, IA 50428-1105
Mailing address
1524 Highway 18 West
Clear Lake, IA 50428-1105
Phone (641) 357-7189
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02300 | Other | BLUE SHIELD IA WELLMARK | |
| 0023002 | Medicaid | IA |
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 |
|---|---|---|---|
| 02980 | IA | MD | Chiropractor |
| 0104000343 | VA | MD | Chiropractor |
| 0060000625 | VT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1861467524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 HIGHWAY 18 WEST",
"city": "CLEAR LAKE",
"state": "IA",
"postal_code": "504281105",
"telephone_number": "641-357-7189",
"fax_number": "641-357-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 HIGHWAY 18W",
"city": "CLEAR LAKE",
"state": "IA",
"postal_code": "504281105",
"telephone_number": "641-357-7189",
"fax_number": "641-357-7189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOETZ",
"first_name": "HENRY",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "02980",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104000343",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VT",
"license": "0060000625",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD IA WELLMARK",
"identifier": "02300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023002",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clear Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.