Individual provider Active NPI

David Benjamin Good II, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Grants, NM
National Provider Identifier
1558515940
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
316110 Issued in AZ
Practice address
1423 E Roosevelt Ave
Grants, NM 87020-2245
Phone
(505) 287-4446
NPI assigned
Nov 11, 2008
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA-01352 NM
Certified Registered Nurse Anesthetist 367500000X 316110 AZ Primary
Registered Nurse 163W00000X 270506 MA

Addresses

Primary practice location

1423 E Roosevelt Ave
Grants, NM 87020-2245

Mailing address

2530 N 8TH St
Phoenix, AZ 85006-1048
Phone (508) 878-0516

Other practice location 1

21360 N 75th Ave
Glendale, AZ 85308-8228
Phone (623) 663-0006

Other practice location 2

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150226001935 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698091163 Reassigns benefits to 1 organization
I20241119004516 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698091163 Reassigns benefits to 1 organization
I20250416000486 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698091163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

1901 Red Rock Dr
Gallup, NM 87301-5683
Phone (505) 863-7122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.18 of 100Reported as group
Quality
61.12
Improvement activities
40
Cost
81.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 20, 2015 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Pacific Sonoran Anesthesia LLC CurrentSince Nov 13, 2024 Accepting new patients
Cibola General Hospital Corporation CurrentSince Sep 11, 2025 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
Pinnacle Injury Care, LLC PastSince Apr 25, 2021 Accepting new patients
Clarion Anesthesia LLC Past Accepting new patients

Locations

17505 N 79th Ave
Ste 304D
Glendale, AZ 85308

17505 N 79th Ave
Ste 304E
Glendale, AZ 85308
Phone (773) 844-8663

9815 N 95th St
Scottsdale, AZ 85258
Phone (800) 626-7054

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

Interoperability endpoints

  • Direct secure messaging: davidgood@asjh.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1558515940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N 8TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061048",
            "telephone_number": "508-878-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E ROOSEVELT AVE",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202245",
            "telephone_number": "505-287-4446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21360 N 75th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088228",
            "country_code": "US",
            "telephone_number": "623-663-0006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Red Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873015683",
            "country_code": "US",
            "telephone_number": "505-863-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOOD",
        "first_name": "DAVID",
        "middle_name": "BENJAMIN",
        "name_suffix": "II",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "CRNA-01352",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "316110",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "270506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.