John Terry Godfrey, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002923A Issued in IN

Practice address

1146 N Cass St
Ste C
Wabash, IN 46992-1082

Phone

(260) 563-9090

Fax

(260) 563-9090

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

Yes

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 IN, OK2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Chiropractic Service Station

  • Chiropractor
  • Wabash, IN
  • NPI 1164977898
  NPD Authorized official
• Godfrey Chiropractic Clinic PLLC

  • Chiropractor
  • Edmond, OK
  • NPI 1578757308
  NPD Authorized official
• John Terry Godfrey Chiropractic PLLC

  • Chiropractor
  • Edmond, OK
  • NPI 1568836914
  NPD Authorized official
• Koenig Physical Medicine PLLC

  • Chiropractor
  • Edmond, OK
  • NPI 1154037554

  OK

  Medicare reassignment

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1992876262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CASS ST",
            "address_2": "STE C",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921082",
            "telephone_number": "260-563-9090",
            "fax_number": "260-274-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N CASS ST",
            "address_2": "STE C",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921082",
            "telephone_number": "260-563-9090",
            "fax_number": "260-563-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "JOHN",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002923A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "007632148",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melissa Glass, MA
• Tiffiany Gosnell, DMD
• Linette I Grange, D.O
• Akeem Green
• Michael Lydell Haarer, LMHC
• Stuart Douglass Hall

• All providers in Wabash, IN
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.