Dustin Ryan Goodwin Jr.

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

76782 Issued in AZ

Practice address

1800 N. Civic SQ.
Goodyear, AZ 85395

Phone

(623) 465-6506

NPI assigned

Mar 31, 2022

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Banner Physician Specialists Arizona LLC

  • Durable Medical Equipment & Medical Supplies
  • Goodyear, AZ
  • NPI 1689470403
  NPD (past)

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1942940473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N CIVIC SQ STE 220",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952391",
            "telephone_number": "623-465-6506",
            "fax_number": "623-474-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N. CIVIC SQ.",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-465-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "DUSTIN",
        "middle_name": "RYAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "AZ",
            "license": "76782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Home Health Care LLC
• Good Neighbor Assisted Living Services Inc (Good Neighbor Support Services)
• Good Neighbor Assisted Living Services, Inc. (Good Neighbor Support Services)
• Good Night Sleep Wellness Centers, Inc
• Good Years Family Medicine LLC
• Goodyear Assisted Living Home, LLC (Goodyear Assisted Living Home)
• Goodyear Dental LLC
• Goodyear Dental LLC
• Goodyear Endodontics, P.C.
• Goodyear Endodontics, P.C.

• Sports Medicine (Emergency Medicine) Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Sports Medicine (Emergency Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.