Individual provider Active NPI

Candice Renee Goodar, CMT

  • Massage Therapist
  • Ann Arbor, MI
National Provider Identifier
1952580870
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
520 5TH St
Ann Arbor, MI 48103-4839
Phone
(734) 664-6974
Fax
(866) 318-1331
NPI assigned
Oct 26, 2007
Last updated
Oct 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MI
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

520 5TH St
Ann Arbor, MI 48103-4839

Mailing address

520 5TH St
Ann Arbor, MI 48103-4839
Phone (734) 664-6974

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1952580870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 5TH ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034839",
            "telephone_number": "734-664-6974",
            "fax_number": "866-318-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 5TH ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034839",
            "telephone_number": "734-664-6974",
            "fax_number": "866-318-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODAR",
        "first_name": "CANDICE",
        "middle_name": "RENEE",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.