Organization Active NPI

Goodwin Oral & Facial Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisonburg, VA
National Provider Identifier
1871957043
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401414700 Issued in VA
Legal business name
GOODWIN ORAL & FACIAL SURGERY PLLC
Practice address
3200 Peoples Dr
Ste 210
Harrisonburg, VA 22801-7631
Phone
(540) 705-0195
Fax
(540) 615-5704
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Dr. William Thomas Goodwin, DDSNPI 1508165887
Title
President
Phone
(540) 705-0195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 0401414700 VA Primary

Addresses

Primary practice location

3200 Peoples Dr
Ste 210
Harrisonburg, VA 22801-7631

Mailing address

3200 Peoples Dr
Suite 210
Harrisonburg, VA 22801-7631
Phone (540) 705-0195

National Provider Directory

National Provider Directory

Locations

3200 Peoples Dr
Ste 210
Harrisonburg, VA 22801
Phone (540) 217-0911

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1871957043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PEOPLES DR",
            "address_2": "SUITE 210",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228017631",
            "telephone_number": "540-705-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PEOPLES DR",
            "address_2": "STE 210",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228017631",
            "telephone_number": "540-705-0195",
            "fax_number": "540-615-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN ORAL & FACIAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-705-0195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401414700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.