Beverly Goodman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013967 Issued in MI

Practice address

1701 Baldwin Ave
Suite 200
Pontiac, MI 48340-3412

Phone

(248) 338-7333

Fax

(248) 338-6793

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

No

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.

• Hung Hoang Nguyen, DMD, P.C.

  • General Practice Dentistry
  • Tacoma, WA
  • NPI 1245066364

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 21, 2015 through Jul 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720041155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BALDWIN AVE",
            "address_2": "SUITE 200",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483403412",
            "telephone_number": "248-338-7333",
            "fax_number": "248-338-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BALDWIN AVE",
            "address_2": "SUITE 200",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483403412",
            "telephone_number": "248-338-7333",
            "fax_number": "248-338-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "BEVERLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1966258",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed Gomaa, PHARM D
• Mohamad-Hamood Toufik Gomah
• Racheal Gonzalez
• Good Day Counseling LLC
• Good Samaritan Helping Hands
• Judie R. Goodman, DO
• Andrew P Gordon
• Lisa Gordon, LMSW
• William Henry Gordon, M.D.
• Carol Goubeaux, P.T.

• All providers in Pontiac, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.