Organization Active NPI

Jamie Goodman D.C, P.a.

  • Chiropractor
  • Dunedin, FL
National Provider Identifier
1871865295
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7832 Issued in FL
Legal business name
JAMIE GOODMAN D.C, P.A.
Practice address
2323 Curlew Rd
Suite 6C
Dunedin, FL 34698-9330
Phone
(727) 772-7788
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Jamie Alan Goodman, D.C, P.A.NPI 1285694414
Title
Chiropractor
Phone
(727) 772-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7832 FL Primary

Addresses

Primary practice location

2323 Curlew Rd
Suite 6C
Dunedin, FL 34698-9330

Mailing address

2323 Curlew Rd
Suite 6C
Dunedin, FL 34698-9330
Phone (727) 772-7788

Other identifiers 5

IdentifierTypeStateIssuer
381863200MedicaidFL
70157OtherFLBLUE CROSS BLUE SHIELD
1507451OtherFLCIGNA
7551499OtherFLAETNA
619732OtherFLUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000435 FL Part B Supplier - Clinic/Group Practice 7416114251 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

2323 Curlew Rd
Ste 6C
Dunedin, FL 34698
Phone (727) 772-1966

2206 Curlew Rd
Palm Harbor, FL 34683
Phone (239) 390-1800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1871865295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CURLEW RD",
            "address_2": "SUITE 6C",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989330",
            "telephone_number": "727-772-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 CURLEW RD",
            "address_2": "SUITE 6C",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989330",
            "telephone_number": "727-772-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE GOODMAN D.C, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "727-772-7788",
        "authorized_official_credential": "D.C, P.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381863200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1507451",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7551499",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "619732",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.