Active NPI
Krystal Lynn Goodwin, D.C.
- Chiropractor
- Wooster, OH
National Provider Identifier
1861652836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3904
- Practice address
- 242 E Milltown Rd
Wooster, OH 44691-1246 - Phone
- (330) 345-4440
- Fax
- (330) 345-9335
- NPI assigned
- Jun 13, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3904 | OH | Primary |
Addresses
Primary practice location
242 E Milltown Rd
Wooster, OH 44691-1246
Mailing address
242 E Milltown Rd
Wooster, OH 44691-1246
Phone (330) 345-4440
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3904 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1861652836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 E MILLTOWN RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911246",
"telephone_number": "330-345-4440",
"fax_number": "330-345-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 E MILLTOWN RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911246",
"telephone_number": "330-345-4440",
"fax_number": "330-345-9335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "KRYSTAL",
"middle_name": "LYNN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.