DR. TIMOTHY GOODWIN (NPI# 1447321237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447321237 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY GOODWIN |
| Credential | D.C. |
| Practice Address |
392 E 12300 S Ste C Draper UT 84020-8043 |
| Practice Telephone | 8015238700 |
| Practice Fax Number | 8015238191 |
| Mailing Telephone | 8015238700 |
| Mailing Fax Number | 8015238191 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
3583261202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STATE LICENSE | 3583261202 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669454948 | Timothy B Goodwin | Specialist | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2005-11-14 |
| Street Address |
392 E 12300 S STE C |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-8043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128359 | David Tieman | Mechanotherapist | 392 E 12300 S Ste C, Draper, UT 84020-8043 | 2019-08-08 |
| 1922567791 | Gannon O Ward | Chiropractor | 392 E 12300 S Ste C, Draper, UT 84020-8043 | 2019-03-19 |
| 1992964480 | Draper Chiropractic P.C. | Chiropractor | 392 E 12300 S Ste C, Draper, UT 84020-8043 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844523 | Richard Mason Stewart IIi | Chiropractor | 12371 S 900 E Ste 101, Draper, UT 84020-9834 | 2020-06-02 |
| 1770757569 | Matthew David Smith | Chiropractor | 13552 S 110 W, Ste 204, Draper, UT 84020-2403 | 2008-04-14 |
| 1023409059 | Sarah Wilson | Chiropractor | 1178 E Draper Pkwy, Draper, UT 84020-9095 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820609 | Jared Wadsworth | Chiropractor | 2230 N University Pkwy #6b, Provo, UT 84604-8460 | 2018-08-08 |
| 1124517982 | Aspen Summit Chiropractic and Wellness | Chiropractor | 726 South 1600 West Suite 101, Mapleton, UT 84664 | 2018-05-08 |
| 1558875930 | Garrett Dean Barfoot | Chiropractor | 2080 Gold Dust Ln Ste 1, Park City, UT 84060-7294 | 2017-11-21 |
| 1396159885 | Tyler Leroy Nelson | Chiropractor | 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 | 2014-06-12 |
| 1922347137 | James Garrett Eagar | Chiropractor | 510 E 770 N, Orem, UT 84097-4101 | 2013-02-07 |
| 1932430782 | Russell D. Jepson | Chiropractor | 301 N 200 E Ste 2a, St George, UT 84770-3040 | 2010-01-19 |
| 1689813446 | Elite Performance Health Center, PC | Chiropractor | 3630 W South Jordan Parkway, Suite 102, South Jordan, UT 84095-7153 | 2009-02-18 |
| 1003055534 | Brigham Lundahl | Chiropractor | 358 W Saint George Blvd, St George, UT 84770-3352 | 2009-02-06 |
| 1134347453 | Glenn Robert Day | Chiropractor | 1283 W 12600 S, Suite 203, Riverton, UT 84065-7118 | 2007-04-23 |
| 1427115682 | James Lawrence Misustin | Chiropractor | 1415 N 400 E Ste A, Logan, UT 84341-7539 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
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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.