Rocky J Goodall, BOCP/L

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

C36377 Issued in TN

Practice address

114 Powell Dr
Hendersonville, TN 37075-3527

Phone

(615) 340-0068

Fax

(615) 340-0028

NPI assigned

Apr 14, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Superior O & P, LLC

  • Prosthetic/Orthotic Supplier
  • Nashville, TN
  • NPI 1336377316
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1861666596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6017 LICKTON PIKE",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370729146",
            "telephone_number": "615-772-1880",
            "fax_number": "615-340-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 POWELL DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753527",
            "telephone_number": "615-340-0068",
            "fax_number": "615-340-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALL",
        "first_name": "ROCKY",
        "middle_name": "J",
        "credential": "BOCP/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "C36377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velisha Renee Golden
• Carli Gomes
• Tayleigha Gomez Coreas
• Michele Marie Gonzales
• Cathryn Donna Gonzalez
• Kaci Goodgame, LDN
• Elizabeth E. Goodman, O.D.
• Etta Goodwin, LCSW
• Linda Janet Gottfried
• Grace Wellness LLC

• Prosthetic/Orthotic Supplier in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.