Irwin Goodman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14084 Issued in MI

Legal business name

IRWIN GOODMAN

Practice address

23941 John R Rd
Hazel Park, MI 48030-1416

Phone

(248) 547-2055

Fax

(248) 547-0054

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Irwin Arnold Goodman, DDSNPI 1316167471

Title

Dentist

Phone

(248) 547-2055

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irwin Arnold Goodman, DDS

  • Dentist
  • Hazel Park, MI
  • NPI 1316167471
  NPD (past) Authorized official
• Kathryn Hornick

  • General Practice Dentistry
  • Hazel Park, MI
  • NPI 1699450247
  NPD (past)

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1205377694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23941 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301416",
            "telephone_number": "248-547-2055",
            "fax_number": "248-547-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23941 JOHN R RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301416",
            "telephone_number": "248-547-2055",
            "fax_number": "248-547-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN GOODMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "248-547-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Hornick
• Jessica Howard, PA-C
• HP Limited Dividend Housing Association LLC (Baldwin House Hazel Park)
• Emma Hubbard
• Godwin Ilonze
• Aisha Jackson- Tucker
• Jasmine's House of Angels
• Jayz Outreach
• John R RX LLC
• Kaitlin E Jones

• General Practice Dentistry in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.