James L Goodwill III, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

844 Issued in DE

Practice address

1304 N Broom St
Wilmington, DE 19806-4266

Phone

(302) 655-8717

Fax

(803) 691-6825

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Oral & Maxillofacial Surgery Associates, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1558452177
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184750390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 N BROOM ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064266",
            "telephone_number": "302-655-8717",
            "fax_number": "803-691-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 N BROOM ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198064266",
            "telephone_number": "302-655-8717",
            "fax_number": "803-691-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWILL",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Robert Goodman, L.C.S.W., B.C.D.
• Ronald M. Goodman, D.O.
• Michele Goodson, CRNP
• Camille A. Goodspeed, DO
• Goodwill Industries of Delaware & Delaware County Inc
• Steven Thomas Goodwin, DPT
• Inga Nykole Goodwine
• Goodyear Medical Supplies
• Edris Goolsby Harrell, PH.D.
• Ainsley Norbert Gopie, RPH

• Oral and Maxillofacial Surgery (Dentist) in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.