David R Gooldy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2108 Issued in SC

Practice address

1926 S Lake Dr
Lexington, SC 29073-8282

Phone

(803) 808-1897

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFBBDD

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

• Advantage Integrated Medical

  • Physical Medicine & Rehabilitation Physician
  • Lexington, SC
  • NPI 1013669126
  NPD Authorized official

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187913600000",
    "number": "1972590040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84428",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290730008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738282",
            "telephone_number": "803-808-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLDY",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen M. Goode
• Alice Goodman, PT
• Olivia Goodman
• Stephanie Goodrich
• Charles Thomas Goodson Jr., LMFT
• Alexis Gordon, MHSOT
• Brandtina Akanke Gordon, SLP
• Kelsey Gordon, SLP
• Sheila C Gordon, ATC
• Lauren Goude

• Chiropractor in Lexington, SC
• Providers in Lexington, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.