Active NPI
Robert William Goodman, DDS MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Novi, MI
National Provider Identifier
1831276492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901017623
- Practice address
- 42430 West Twelve Mile Road
Suite 101
Novi, MI 48377-3028 - Phone
- (248) 465-7500
- Fax
- (248) 465-7501
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS-07893 | IA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901017623 | MI | Primary |
Addresses
Primary practice location
42430 West Twelve Mile Road
Suite 101
Novi, MI 48377-3028
Mailing address
8050 Greenlawn CT
Commerce TWP, MI 48382
Phone (248) 465-7500
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-07893 | IA | MD | Dentist |
| 2901017623 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1831276492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8050 GREENLAWN CT",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "48382",
"telephone_number": "248-465-7500",
"fax_number": "248-465-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42430 WEST TWELVE MILE ROAD",
"address_2": "SUITE 101",
"city": "NOVI",
"state": "MI",
"postal_code": "483773028",
"telephone_number": "248-465-7500",
"fax_number": "248-465-7501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "DDS-07893",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901017623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.