Gary Roy Goldstein, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1117 Issued in OH

Practice address

61 E High St
London, OH 43140-1247

Phone

(740) 852-0717

Fax

(740) 852-0828

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• London Chiropractic Center LLC

  • Chiropractor
  • London, OH
  • NPI 1821289646
  NPD (past) Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952432585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 E HIGH ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401247",
            "telephone_number": "740-852-0717",
            "fax_number": "740-852-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E HIGH ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401247",
            "telephone_number": "740-852-0717",
            "fax_number": "740-852-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "GARY",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000309381",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah George
• William P. Gianakopoulos, M.D.
• Joshua Everett Glupker, D.O.
• Andrea M Goedel, APRN-CNP
• Catherine Goff
• David Gorrell
• Greater Ohio Cardiology,Inc
• Devin Grissom
• Brad Gummere
• Ryan Guthrie, COTA/L

• Chiropractor in London, OH
• Providers in London, OH by specialty
• Chiropractor in Ohio

• 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.

Verify at the official NPI Registry.