Goodwin Dentistry and Medicine, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GOODWIN DENTISTRY AND MEDICINE, LLC

Practice address

3025 Aloma Ave
Winter Park, FL 32792-3702

Phone

(407) 671-2300

Fax

(407) 671-2827

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Goodwin, DO, DMDNPI 1831579457

Title

Owner

Phone

(407) 671-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron M. Goodwin, D.O., D.M.D.

  • General Practice Physician
  • Lake Mary, FL
  • NPI 1831579457
  NPD (past) Authorized official
• David J. Blue, DMD

  • General Practice Dentistry
  • Winter Park, FL
  • NPI 1619929361
  NPD (past)
• Timothy Tiralosi, D.M.D.

  • Dentist
  • Lake Mary, FL
  • NPI 1144437831
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1720646599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923702",
            "telephone_number": "407-671-2300",
            "fax_number": "407-671-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 ALOMA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923702",
            "telephone_number": "407-671-2300",
            "fax_number": "407-671-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN DENTISTRY AND MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-671-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, DMD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831579457",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Sebastian Gonzalez
• Karen Gonzalez
• Marisol Gonzalez, APRN
• Rhonda M Goodall, LMT FS RCA LE
• Krista Ellen Goodman, MD
• Kyle Joseph Goodwin, PSY.D.
• Emily Rachel Gordon
• Janine Gordon
• Shawn Gordon, LMFT
• Tania Gorham, MS, LMFT, QS

• Health Service Clinic/Center in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.