Goben Chiropractic Offices, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4166 Issued in KY

Legal business name

GOBEN CHIROPRACTIC OFFICES, PLLC

Practice address

700 Gagel Ave
Louisville, KY 40216-4008

Phone

(502) 366-7386

Fax

(502) 366-2222

NPI assigned

Jun 1, 2005

Last updated

Apr 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin L Goben, D.C.NPI 1275535585

Title

Chiropractor/Owner

Phone

(502) 366-7386

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin L Goben, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1275535585
  Medicare reassignment NPD Authorized official
• Keith W Kenitzer, D.C.

  • Chiropractor
  • Louisville, KY
  • NPI 1740282045
  Medicare reassignment NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1871595165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GAGEL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164008",
            "telephone_number": "502-366-7386",
            "fax_number": "502-366-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GAGEL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164008",
            "telephone_number": "502-366-7386",
            "fax_number": "502-366-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOBEN CHIROPRACTIC OFFICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "GOBEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "502-366-7386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1131052",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000050861",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1136138",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED RAILROAD MEDICARE",
            "identifier": "350036040",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000221631",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85002103",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85041663",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GND Radiology Solutions, LLC
• Martin Leonardo Gnoni, MD
• Alexandra Goad
• Leslie Brooke Goad
• Elizabeth Goatley
• Carly Elizabeth Goben
• Kevin L Goben, D.C.
• Robin Goben
• Adam Lee Goble, M.D.
• God Power Homecare LLC

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.