LARRY KENNETH GOODWIN (NPI# 1265530331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265530331 |
Entity Type | Individual |
Full Name | LARRY KENNETH GOODWIN |
Credential | D.C. |
Practice Address |
2100 Lake Shore Lane Mansfield AR 72944 |
Mailing Address |
2100 Lake Shore Lane P.o. Box 692 Mansfield AR 72944 |
Practice Telephone | 4794627891 |
Mailing Telephone | 4794627891 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1035 | AR | Chiropractic Providers |
Street Address |
2100 LAKE SHORE LANE |
City | MANSFIELD |
State | AR |
Zip Code | 72944 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588794978 | Larry D. Brown | Dentist | 407 East Howard Street, Mansfield, AR 72944 | 2007-03-06 |
1912437781 | Kyle C Sharp | Dentist | 407 East Howard Street, Mansfield, AR 72944 | 2017-06-14 |
1902336118 | Hometown Dental | Clinic/Center | 407 E Howard St, Mansfield, AR 72944-0067 | 2017-06-20 |
1407037450 | Don's Drug, Inc. | Durable Medical Equipment & Medical Supplies | 213 E. Howard St, Mansfield, AR 72944-0646 | 2007-11-19 |
1538529508 | Health-wise Pharmacy, Pllc | Pharmacy | 213 E Howard St, Mansfield, AR 72944-3411 | 2016-03-03 |
1417089657 | Mansfield Public Schools | Local Education Agency (LEA) | 402 Grove St, Mansfield, AR 72944-3422 | 2007-03-12 |
1427420702 | Schluterman Eye Care & Optical, Inc | Optometrist | 100 N Walnut Ave, Suite C, Mansfield, AR 72944-3522 | 2015-10-26 |
1871854851 | Meghan E Newman | Counselor | 100 N Walnut Ave Ste C, Mansfield, AR 72944-3522 | 2012-06-06 |
1295774917 | Mercy Hospital Waldron | Clinic/Center | 100 N Walnut Ave Ste A, Mansfield, AR 72944-3522 | 2006-06-06 |
1396353116 | Baker Counseling Services LLC | Clinic/Center | 100 N Walnut Ave Ste C, Mansfield, AR 72944-3522 | 2020-07-17 |
Find all providers in zip 72944 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119883 | Skylar Dian Camacho | Chiropractor | 1560 E Debbie Ln, Mansfield, TX 76063-8574 | 2020-06-25 |
1871067124 | Wicked Good Chiropractic & Wellness Group, PC | Chiropractor | 77 West St Ste A, Mansfield, MA 02048-2403 | 2019-01-18 |
1154892883 | Lifeforge, Pllc | Chiropractor | 408 S Main St Ste B, Mansfield, TX 76063-3183 | 2018-12-06 |
1659801108 | Kelsey Smith | Chiropractor | 2300 Matlock Rd Ste 4, Mansfield, TX 76063-5018 | 2017-06-18 |
1043750037 | Emily Puente | Chiropractor | 1475 Heritage Pkwy Ste 325, Mansfield, TX 76063-2736 | 2017-02-24 |
1972048106 | Julie Shaffer | Chiropractor | 812 Twin Creek Dr, Mansfield, TX 76063-2840 | 2016-12-26 |
1578977559 | Nicholas T Jackson | Chiropractor | 99 Regency Pkwy Ste 211, Mansfield, TX 76063-7819 | 2014-06-17 |
1457786329 | Stephen James Berndt | Chiropractor | 1229 Concho Trl, Mansfield, TX 76063-5768 | 2013-09-10 |
1043567761 | Ashley Nicole Carr | Chiropractor | 305 Regency Pkwy Ste 801, Mansfield, TX 76063-3794 | 2012-08-13 |
1972880854 | Olar Family Chiropractic, Inc | Chiropractor | 1115a Lexington Ave, Mansfield, OH 44907-2251 | 2011-11-07 |
Find all providers in MANSFIELD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.