Richard L Goodman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19015125 Issued in IL

Practice address

391 Quadrangle Dr
Suite S-5
Bolingbrook, IL 60440-3442

Phone

(630) 759-4400

Fax

(630) 759-9528

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• Randall F. Summers, D.D.S.,LTD

  • Dentist
  • Bolingbrook, IL
  • NPI 1538287297
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497870398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 WINTERBERRY LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855683",
            "telephone_number": "630-759-4400",
            "fax_number": "630-759-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 QUADRANGLE DR",
            "address_2": "SUITE S-5",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403442",
            "telephone_number": "630-759-4400",
            "fax_number": "630-759-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19015125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radha Godambe, PT. DPT
• Alejandra Godines, PTA
• Golden Hour Health PLLC
• Golden Hour Wellness, LLC
• Jason Christopher Goliath, MD
• Gorbold Behavioral Consulting, Inc.
• Stephanie Gorbold
• Gregory W Goska, M.D.
• Ann Elizabeth Gould, COTA
• John F Grady, DPT

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• General Practice Dentistry in Illinois

• 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.