John Russell Goodloe Jr., D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2620 Issued in AL

Practice address

1605 Hillcrest Rd
Mobile, AL 36695-3987

Phone

(251) 634-0242

Fax

(251) 634-0546

NPI assigned

Apr 8, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hillcrest Orthodontics P C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mobile, AL
  • NPI 1669685756
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1679746069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953987",
            "telephone_number": "251-634-0242",
            "fax_number": "251-634-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HILLCREST RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953987",
            "telephone_number": "251-634-0242",
            "fax_number": "251-634-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODLOE",
        "first_name": "JOHN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Maria Gonzalez
• Good Enough Therapy LLC
• Alicia Shinita Goode, ALC
• Russell Douglas Goode, MD
• Sarah Catherine Goode, CRNP
• Travis Bedsole Goodloe III, MD
• Goodwill Easter Seals of the Gulf Coast
• Miranda Goodwin, LCSW
• Rebecca Marie Goodwin, LMFT
• Timothy B Goodwin, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Mobile, AL
• Providers in Mobile, AL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.