Active NPI
Robert Michael Goudy, DC
- Chiropractor
- High Point, NC
National Provider Identifier
1922190644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1495
- Practice address
- 1213 Greensboro Rd
High Point, NC 27260-2609 - Phone
- (336) 991-2427
- NPI assigned
- Sep 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1495 | NC | Primary |
Addresses
Primary practice location
1213 Greensboro Rd
High Point, NC 27260-2609
Mailing address
1213 Greensboro Rd
High Point, NC 27260-2609
Phone (336) 991-2427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08467 | Other | NC | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1495 | NC | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922190644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 GREENSBORO RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272602609",
"telephone_number": "336-991-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 GREENSBORO RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272602609",
"telephone_number": "336-991-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOUDY",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1495",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "08467",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.