1. Home
  2. Directory
  3. Michigan
  4. Allen Park
  5. General Practice
  6. NPI Profile

GODDARD CLINIC PC
NPI 1427266113
General Practice in Allen Park, MI

Active since May 18, 2007
17234 GODDARD RD, ALLEN PARK, MI 48101(313) 386-3960(313) 386-0145 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goddard Clinic Pc NPPES

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

GODDARD CLINIC PC (NPI 1427266113) is a healthcare organization registered as a general practice in Allen Park, Michigan and active in the NPI registry since May 2007. The organization lists Kenneth William Debyle, President, as its authorized official.

NPPES Registry Identity

NPI1427266113
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGODDARD CLINIC PC
Location Address17234 GODDARD RDAllen Park, MI 48101-4100
Mailing Address17234 Goddard RdAllen Park, MI 48101-4100 · (313) 386-3960 · Fax (313) 386-0145
Phone(313) 386-3960
Fax(313) 386-0145
Organization SubpartNo
Authorized OfficialKenneth William DebylePresident · (313) 386-3960
Enumeration DateMay 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427266113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 5101005616
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
17234 GODDARD RD, Allen Park, MI 48101
Open in Google Maps ↗

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 3

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

LOVE KNOT MEDICAL CENTER,LLC
Clinic/Center (Physical Therapy)
17234 GODDARD RD
ALLEN PARK, MI 48101
Wayne County (313) 627-1422
DR. KEVIN JOEL POTOCSKY D.D.S.
Dentist
17234 GODDARD RD
ALLEN PARK, MI 48101
Wayne County (313) 381-1633
97 SMILES OF ALLEN PARK
Dentist
17234 GODDARD RD
ALLEN PARK, MI 48101
Wayne County (313) 279-9797

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 Goddard Clinic PC's NPI number?

The NPI number for Goddard Clinic PC is 1427266113. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Goddard Clinic PC located?

Goddard Clinic PC is located at 17234 Goddard Rd, Allen Park, MI 48101. The listed phone number is (313) 386-3960.

What is Goddard Clinic PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Goddard Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.