Jennifer N. Goff, D.D.S.
Individual provider Active NPI General Practice Dentistry · Huntington, IN
NPI 1821047804 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1821047804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12010151 (IN)
- Practice address
- 22 Vine St
Huntington, IN 46750-1409 - Phone
- (260) 356-9550
- Fax
- (260) 356-5181
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150522001430 | IN | Order and Referring Only - Dentist |
5193045631 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D'Vine Dental | Current |
Accepting new patients | |
| Huntington Dental Group, P.C. | General Practice | Past | Accepting new patients |
Locations
22 Vine St
Huntington, IN 46750
Phone (260) 356-9550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12010151 | IN | |
| General Practice Dentistry | 1223G0001X | 12010151 | IN | Yes |
Addresses
Primary practice location
22 Vine St
Huntington, IN 46750-1409
Mailing address
22 Vine St
Huntington, IN 46750-1409
Phone (260) 356-9550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164187 | Other | IN | CHILDREN'S SPECIAL HEALTH |
| 200240730A | Medicaid | IN |
Other providers in Huntington, IN
- Stephen F Geders
- Genoa Healthcare LLC
- Mary Gilliam
- Alethea Gilpin
- Zachary Jacob Goetz
- Carter Gonzalez
- Cynthia Anne Goshert
- Joseph Gozun
- Mary Jane Graves
- Stephanie Gray
All providers in Huntington, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.