Robert Duane Goodwin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13337 Issued in TX

Practice address

3004 Coggin Ave
Brownwood, TX 76801-6005

Phone

(325) 646-3755

Fax

(325) 646-7074

NPI assigned

Mar 9, 2007

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

Other identifiers 1

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

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.

• Robert D Goodwin DDS PA

  • General Practice Dentistry
  • Brownwood, TX
  • NPI 1225368202
  NPD (past) Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1528190477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 COGGIN AVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768016005",
            "telephone_number": "325-646-3755",
            "fax_number": "325-646-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 COGGIN AVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768016005",
            "telephone_number": "325-646-3755",
            "fax_number": "325-646-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "ROBERT",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008233101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Garcia, SLP
• Terri Kay Garrett, RPH
• Geriatric Consultants of Central Texas, PA
• Emilly Gomez
• Chris Goodwin, COTA
• Donna Gordon, SLP
• Rogina Ann Gosnell, AGACNP
• Susan Marie Gould, RPH
• Ashley Paige Gregory, PHARMD
• Diana Jessica Grimsley, M.S., CCC, SLP

• General Practice Dentistry in Brownwood, TX
• Providers in Brownwood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.