Organization Active NPI

Robert H Goeckel DC LLC

  • Chiropractor
  • Flint, MI
National Provider Identifier
1891128237
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROBERT H GOECKEL DC LLC
Practice address
4306 Richfield Rd
Flint, MI 48506-2022
Phone
(810) 736-0501
Fax
(810) 736-4783
NPI assigned
Aug 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Robert H Goeckel, DC
Title
Doctor
Phone
(810) 736-0501

Specialties & licenses 1

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

Addresses

Primary practice location

4306 Richfield Rd
Flint, MI 48506-2022

Mailing address

4306 Richfield Rd
Flint, MI 48506-2022
Phone (810) 736-0501

Other identifiers 6

IdentifierTypeStateIssuer
0B50891OtherMIBCBS
1658358MedicaidMI
350039013OtherMIPALMETTO RR MEDICARE
0B50891OtherMIMEDICARE PTIN
P73506OtherMIBLUE CARE NET NUMBER
XX05374OtherMIHEALTH PLUS PROVIDER CODE

National Provider Directory

National Provider Directory

Locations

4306 Richfield Rd
Flint, MI 48506
Phone (810) 736-0501

Practitioners & affiliated clinicians

Practitioners 1

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": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1891128237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062022",
            "telephone_number": "810-736-0501",
            "fax_number": "810-736-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 RICHFIELD RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485062022",
            "telephone_number": "810-736-0501",
            "fax_number": "810-736-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H GOECKEL DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "GOECKEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-736-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0B50891",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1658358",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "350039013",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTIN",
            "identifier": "0B50891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NET NUMBER",
            "identifier": "P73506",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PROVIDER CODE",
            "identifier": "XX05374",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.