Individual provider Active NPI

Jennifer N. Goff, D.D.S.

  • General Practice Dentistry
  • Huntington, IN
National Provider Identifier
1821047804
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010151 Issued in IN
Practice address
22 Vine St
Huntington, IN 46750-1409
Phone
(260) 356-9550
Fax
(260) 356-5181
NPI assigned
May 8, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12010151 IN
General Practice Dentistry 1223G0001X 12010151 IN Primary

Addresses

Primary practice location

22 Vine St
Huntington, IN 46750-1409

Mailing address

22 Vine St
Huntington, IN 46750-1409
Phone (260) 356-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150522001430 IN Order and Referring Only - DentistPractitioner - Dentist 5193045631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D'Vine Dental CurrentSince Jun 15, 2025 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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1821047804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VINE ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501409",
            "telephone_number": "260-356-9550",
            "fax_number": "260-356-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 VINE ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501409",
            "telephone_number": "260-356-9550",
            "fax_number": "260-356-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFF",
        "first_name": "JENNIFER",
        "middle_name": "N.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010151",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.