Active NPI
Rachel Goodman
- Dentist
- Phoenix, AZ
National Provider Identifier
1730012600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012845
- Practice address
- 21050 N Tatum Blvd Ste 200
Phoenix, AZ 85050-4262 - Phone
- (713) 540-8369
- NPI assigned
- Jun 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D012845 | AZ | Primary |
Addresses
Primary practice location
21050 N Tatum Blvd Ste 200
Phoenix, AZ 85050-4262
Mailing address
1500 N Markdale Unit 1
Mesa, AZ 85201-2445
Phone (713) 540-8369
Other practice location 1
8776 E Shea Blvd Ste 107
Scottsdale, AZ 85260-6693
Phone (480) 697-4997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1730012600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N MARKDALE UNIT 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852012445",
"telephone_number": "713-540-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21050 N TATUM BLVD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850504262",
"telephone_number": "713-540-8369"
}
],
"practiceLocations": [
{
"address_1": "8776 E Shea Blvd Ste 107",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606693",
"country_code": "US",
"telephone_number": "480-697-4997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "AZ",
"license": "D012845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.