John E. Goodrich, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D-2090 Issued in ID

Legal business name

JOHN E. GOODRICH, D.D.S.

Practice address

450 Airbase Rd
Mountain Home, ID 83647-3483

Phone

(208) 587-3314

Fax

(208) 587-3921

NPI assigned

Apr 20, 2011

Last updated

Apr 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John E Goodrich, D.D.S.NPI 1346251105

Title

Owner/Dentist

Phone

(208) 587-3314

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Earl Goodrich, DDS

  • Dentist
  • Mountain Home, ID
  • NPI 1346251105
  NPD (past) Authorized official

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1679864094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 AIRBASE RD",
            "address_2": "P.O. BOX 660",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473483",
            "telephone_number": "208-587-3314",
            "fax_number": "208-587-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 AIRBASE RD",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836473483",
            "telephone_number": "208-587-3314",
            "fax_number": "208-587-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. GOODRICH, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "GOODRICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-587-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-2090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idaho Dept of Health & Welfare Amh PSR Mt Home
• Inspiring Change, Inc
• Deborah Jackson
• Jeff Jausoro
• Barry Edward Jenks, LPC, NCC
• Lita Elaine Johnson, CSFA
• Stephen C Johnson, DO
• Teresa Michelle Johnson, MS CF-SLP
• Onome Benjamin Jonah, PHARMACIST
• Jones Counseling & Consulting, LLC

• Dentist in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.