Craig Stuart Goodman, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

14185 Issued in TX

Practice address

5925 Forest LN
Suite #310
Dallas, TX 75230-2712

Phone

(972) 233-1142

Fax

(972) 960-1411

NPI assigned

Jul 26, 2006

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285658005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "SUITE #310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-233-1142",
            "fax_number": "972-960-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN",
            "address_2": "SUITE #310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302712",
            "telephone_number": "972-233-1142",
            "fax_number": "972-960-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "CRAIG",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "14185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Wolfgang Goodier, DC
• Goodman Chiropractic, P.L.L.C
• Abigail Rohan Goodman, LMSW, LCSW
• Beverly Goodman, PNP
• Colin Goodman, MD
• Edward Dulaney Goodman, PSYCHOLOGIST
• Edward L Goodman, M.D.
• Eliana Goodman
• Erika Goodman
• George E Goodman, OD

• Periodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Periodontics in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.