Individual provider Active NPI

Daniel Richard Godbout, DC

  • Chiropractor
  • Northampton, MA
National Provider Identifier
1922362839
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
134269 Issued in MA
Practice address
24 Center St.
Northampton, MA 01060-3005
Phone
(413) 582-9111
Fax
(413) 582-0333
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 134269 MA Primary

Addresses

Primary practice location

24 Center St.
Northampton, MA 01060-3005

Mailing address

24 Center St.
Northampton, MA 01060-3005
Phone (413) 582-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030001691 MA Practitioner - Chiropractic 2466673751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CX Associates of Northampton, Inc.Group PAC ID 6800894122, 5 clinicians

Practice addresses (Care Compare)

116 Pleasant St
Suite 125
Easthampton, MA 01027-2739
Phone (413) 529-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134269MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mark M. Tanny Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1922362839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CENTER ST.",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603005",
            "telephone_number": "413-582-9111",
            "fax_number": "413-582-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CENTER ST.",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603005",
            "telephone_number": "413-582-9111",
            "fax_number": "413-582-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOUT",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "134269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.