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GOFORTH CHIROPRACTIC LIFE CENTER, P.C.
NPI 1043407919
Chiropractor in Gallup, NM

Active since September 25, 2007
108 W HILL AVE, GALLUP, NM 87301(505) 722-9002(505) 722-7031 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goforth Chiropractic Life Center, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOFORTH CHIROPRACTIC LIFE CENTER, P.C. (NPI 1043407919) is a healthcare organization registered as a chiropractor in Gallup, New Mexico and active in the NPI registry since September 2007. The organization lists Forrest Wayne Goforth, Dr/owner/operator, as its authorized official.

NPPES Registry Identity

NPI1043407919
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGOFORTH CHIROPRACTIC LIFE CENTER, P.C.
Location Address108 W HILL AVEGallup, NM 87301-6218
Mailing Address108 W Hill AveGallup, NM 87301-6218 · (505) 722-9002 · Fax (505) 722-7031
Phone(505) 722-9002
Fax(505) 722-7031
Organization SubpartNo
Authorized OfficialForrest Wayne GoforthDr/owner/operator · (505) 722-9002
Enumeration DateSeptember 25, 2007
✔ NPI 1043407919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NM · 433
Definition
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.
108 W HILL AVE, Gallup, NM 87301
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Other Identifiers 2

Medicare PIN2670140NM
Medicare UPINT40198NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FULL CIRCLE CHIROPRACTIC, PC
Chiropractor
108 W HILL AVE
GALLUP, NM 87301
McKinley County (505) 722-9002
DR. FORREST WAYNE GOFORTH DC
Chiropractor
108 W HILL AVE
GALLUP, NM 87301
McKinley County (505) 722-9002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goforth Chiropractic Life Center, P.C.'s NPI number?

The NPI number for Goforth Chiropractic Life Center, P.C. is 1043407919. It was assigned to this organization in the NPPES registry on September 25, 2007.

Where is Goforth Chiropractic Life Center, P.C. located?

Goforth Chiropractic Life Center, P.C. is located at 108 W Hill Ave, Gallup, NM 87301. The listed phone number is (505) 722-9002.

What is Goforth Chiropractic Life Center, P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Goforth Chiropractic Life Center, P.C. was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.