Amanda Alexis Goodman, D.D.S., M.S..

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN18567 Issued in FL

Practice address

5111 Ehrlich Rd
Suite 130
Tampa, FL 33624-2075

Phone

(813) 964-8833

Fax

(813) 964-8883

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endodontic Specialists

  • Endodontics
  • Tampa, FL
  • NPI 1487248951
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1174856751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S ROME AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063032",
            "telephone_number": "813-545-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 EHRLICH RD",
            "address_2": "SUITE 130",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242075",
            "telephone_number": "813-964-8833",
            "fax_number": "813-964-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "AMANDA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S..",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026365",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021002124",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN18567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellisa Gooden, M.A.
• Natasha Gooden, M.D.
• Kris Goodger, PT
• Margrit Herma Goodhand
• Alice A Goodman, ARNP
• Casey Goodman
• Debra Goodman
• Dorian Goodman, MS, OTR/L
• Sandra Beth Goodman, M.D.
• Mark Thomas Goodnight, DMD, P.A.

• Endodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.