Organization Active NPI

Roy Goodman, D.C., P.a.

Doing business as Florida Spine & Wellness Group

  • Chiropractor
  • Deerfield Beach, FL
National Provider Identifier
1962638775
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7965 Issued in FL
Legal business name
ROY GOODMAN, D.C., P.A.
Doing business as
Florida Spine & Wellness Group
Practice address
2301 W. Sample Road
BLDG. 2, Suite 9a
Deerfield Beach, FL 33073
Phone
(954) 599-6273
Fax
(954) 783-1007
NPI assigned
Jun 8, 2009
Last updated
Jun 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Mr. Roy S Goodman, D.C.
Title
President
Phone
(954) 599-6273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7965 FL Primary

Addresses

Primary practice location

2301 W. Sample Road
BLDG. 2, Suite 9a
Deerfield Beach, FL 33073

Mailing address

PO Box 10303
Pompano Beach, FL 33061-6303
Phone (954) 599-6273

Other names 1

  • Florida Spine & Wellness Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1962638775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10303",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330616303",
            "telephone_number": "954-599-6273",
            "fax_number": "954-783-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W. SAMPLE ROAD",
            "address_2": "BLDG. 2, SUITE 9A",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-599-6273",
            "fax_number": "954-783-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY GOODMAN, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-599-6273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Spine & Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.