Organization Active NPI

Goodwin Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Amarillo, TX
National Provider Identifier
1508168790
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GOODWIN ORTHODONTICS PLLC
Practice address
3629 Wolflin Ave
Amarillo, TX 79102-2119
Phone
(806) 350-8008
Fax
(806) 355-2920
NPI assigned
Nov 22, 2010
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Patricia Y Goodwin
Title
Secretary
Phone
(219) 663-1517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

3629 Wolflin Ave
Amarillo, TX 79102-2119

Mailing address

3629 Wolflin Ave
Amarillo, TX 79102-2119
Phone (806) 350-8008

National Provider Directory

National Provider Directory

Locations

3629 Wolflin Ave
Amarillo, TX 79102
Phone (806) 350-8008

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1508168790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022119",
            "telephone_number": "806-350-8008",
            "fax_number": "806-355-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022119",
            "telephone_number": "806-350-8008",
            "fax_number": "806-355-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "219-663-1517"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.