Active NPI
William John Golas, DC
- Chiropractor
- Benton Harbor, MI
National Provider Identifier
1952329005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301006669
- Practice address
- 1404 E Napier Ave
Benton Harbor, MI 49022-2136 - Phone
- (269) 926-8213
- Fax
- (269) 926-8215
- NPI assigned
- Jul 17, 2006
- 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 | 2301006669 | MI | Primary |
Addresses
Primary practice location
1404 E Napier Ave
Benton Harbor, MI 49022-2136
Mailing address
64060 66TH Ave
Hartford, MI 49057-9692
Phone (269) 208-3122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950A15030 | Other | MI | BLUE CROSS BLUE SHIELD |
| 3268816 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111130000204 | MI | Practitioner - Chiropractic | 6800060989 | Practice locations: Decatur, MI; Benton Harbor, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1404 E Napier Ave
Benton Harbor, MI 49022-2136
Phone (269) 926-8213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301006669 | MI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1952329005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64060 66TH AVE",
"city": "HARTFORD",
"state": "MI",
"postal_code": "490579692",
"telephone_number": "269-208-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 E NAPIER AVE",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490222136",
"telephone_number": "269-926-8213",
"fax_number": "269-926-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLAS",
"first_name": "WILLIAM",
"middle_name": "JOHN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301006669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950A15030",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3268816",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.