Individual provider Active NPI

Kristy Jo Montz-Goble, DC

  • Chiropractor
  • Cassville, MO
National Provider Identifier
1942354709
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005095 Issued in MO
Practice address
16500 State Highway 76
Cassville, MO 65625-4115
Phone
(417) 847-5081
Fax
(417) 847-1911
NPI assigned
Jan 22, 2007
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005095 MO Primary

Addresses

Primary practice location

16500 State Highway 76
Cassville, MO 65625-4115

Mailing address

16500 State Highway 76
Cassville, MO 65625-4115
Phone (417) 847-5081

Other identifiers 1

IdentifierTypeStateIssuer
3086OtherMOANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080731000029 MO Practitioner - Chiropractic 6204900830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16500 State Hwy 76
Cassville, MO 65625-4115
Phone (417) 847-5081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005095MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kristy Montz-Goble Chiropractor PC Chiropractor CurrentSince Dec 7, 2011 Accepting new patients

Locations

16500 State Highway 76
Cassville, MO 65625
Phone (417) 847-5081

605 Main St
Cassville, MO 65625
Phone (417) 847-5081

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1942354709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 STATE HIGHWAY 76",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656254115",
            "telephone_number": "417-847-5081",
            "fax_number": "417-847-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 STATE HIGHWAY 76",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656254115",
            "telephone_number": "417-847-5081",
            "fax_number": "417-847-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTZ-GOBLE",
        "first_name": "KRISTY",
        "middle_name": "JO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "3086",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cassville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.