Harris Ira Goldberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH005283 Issued in FL

Practice address

1696 SE Hillmoor Dr
Ste C
Port Saint Lucie, FL 34952-7699

Phone

(772) 335-3222

Fax

(772) 335-3793

NPI assigned

Oct 17, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gentle Chiropractic Offices, Inc.Group PAC ID 7113064684, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gentle Chiropractic Offices, Inc.

  • Chiropractor
  • Port Saint Lucie, FL
  • NPI 1427382936
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1992794663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR",
            "address_2": "SUITE C",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-335-3222",
            "fax_number": "772-335-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR",
            "address_2": "STE C",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-335-3222",
            "fax_number": "772-335-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HARRIS",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH005283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381-223500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.

Verify at the official NPI Registry.