Active NPI
Wayne K. Goodner, D.D.S., P.C.
- Dentist
- Tucson, AZ
National Provider Identifier
1386654317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 07 549511 Q
- Legal business name
- WAYNE K. GOODNER, D.D.S., P.C.
- Practice address
- 1751 W Orange Grove Rd
Suite 101
Tucson, AZ 85704-1194 - Phone
- (520) 742-4227
- Fax
- (520) 742-4892
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen Gail Goodner
- Title
- Office Manager
- Phone
- (520) 742-4227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 07 549511 Q | AZ | Primary |
Addresses
Primary practice location
1751 W Orange Grove Rd
Suite 101
Tucson, AZ 85704-1194
Mailing address
1751 W Orange Grove Rd
Suite 101
Tucson, AZ 85704-1194
Phone (520) 742-4227
National Provider Directory
National Provider DirectoryLocations
1751 W Orange Grove Rd
Ste 101
Tucson, AZ 85704
Phone (520) 742-4227
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Tucson, AZ
- NPI 1346257912
-
- Periodontics
- Tucson, AZ
- NPI 1366726234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386654317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 W ORANGE GROVE RD",
"address_2": "SUITE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041194",
"telephone_number": "520-742-4227",
"fax_number": "520-742-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 W ORANGE GROVE RD",
"address_2": "SUITE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041194",
"telephone_number": "520-742-4227",
"fax_number": "520-742-4892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE K. GOODNER, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOODNER",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "520-742-4227",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AZ",
"license": "07 549511 Q",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.