Scot L. Goldberg, D.C. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001107 Issued in CT

Legal business name

SCOT L. GOLDBERG, D.C. LLC

Practice address

180 Old Hawleyville Rd
Unit 4
Bethel, CT 06801-3044

Phone

(203) 744-2663

NPI assigned

Nov 6, 2007

Organization subpart

No

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

Authorized official

Name

Scot L Goldberg, D.C.

Title

Member

Phone

(203) 744-2663

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1902086010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OLD HAWLEYVILLE RD",
            "address_2": "UNIT 4",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013044",
            "telephone_number": "203-744-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OLD HAWLEYVILLE RD",
            "address_2": "UNIT 4",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013044",
            "telephone_number": "203-744-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOT L. GOLDBERG, D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-744-2663",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.