Active NPI
William Barton Goodman, D.C.
- Chiropractor
- Thousand Oaks, CA
National Provider Identifier
1992854574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17440
- Practice address
- 425 Lombard St
Thousand Oaks, CA 91360-5898 - Phone
- (805) 495-2735
- Fax
- (805) 495-7406
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17440 | CA | Primary |
Addresses
Primary practice location
425 Lombard St
Thousand Oaks, CA 91360-5898
Mailing address
425 Lombard St
Thousand Oaks, CA 91360-5898
Phone (805) 495-2735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC017440 | Other | CA | BLUE SHIELD PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 Lombard St
Thousand Oaks, CA 91360-5898
Phone (805) 495-2735
425 Lombard St
Thousand Oaks, CA 91360-8218
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17440 | CA | MD | Chiropractor |
| 17440 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodman Chiropractic Professional Corporation | Chiropractor | Current | Accepting new patients |
Locations
425 Lombard St
Thousand Oaks, CA 91360
Phone (805) 494-4145
468 Pennsfield Pl
Ste 105
Thousand Oaks, CA 91360
Phone (805) 495-2735
Organizations & group practices 1
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.
-
- Chiropractor
- Thousand Oaks, CA
- NPI 1245445220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992854574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 LOMBARD ST",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605898",
"telephone_number": "805-495-2735",
"fax_number": "805-495-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 LOMBARD ST",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605898",
"telephone_number": "805-495-2735",
"fax_number": "805-495-7406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "WILLIAM",
"middle_name": "BARTON",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17440",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NO.",
"identifier": "DC017440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.