Organization Active NPI

Wayne K. Goodner, D.D.S., P.C.

  • Dentist
  • Tucson, AZ
National Provider Identifier
1386654317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
07 549511 Q Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.