Individual provider Active NPI

Robert R Goldwin, DDS

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1154384063
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4195 Issued in TN
Practice address
540 S Mendenhall Rd
Suite 8
Memphis, TN 38117-4244
Phone
(901) 682-5782
NPI assigned
Apr 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4195 TN Primary

Addresses

Primary practice location

540 S Mendenhall Rd
Suite 8
Memphis, TN 38117-4244

Mailing address

540 S Mendenhall Rd
Suite 8
Memphis, TN 38117-4244
Phone (901) 682-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006001501 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769790005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154384063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S MENDENHALL RD",
            "address_2": "SUITE 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174244",
            "telephone_number": "901-682-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S MENDENHALL RD",
            "address_2": "SUITE 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174244",
            "telephone_number": "901-682-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWIN",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.