Active NPI
Melba Joyce Goodwin, RDH
- Dental Hygienist
- Spring Hill, TN
National Provider Identifier
1962576298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH3820
- Practice address
- 5073 Columbia Pike
Suite 240
Spring Hill, TN 37174-8607 - Phone
- (615) 302-4200
- Fax
- (615) 302-4201
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH3820 | TN | Primary |
Addresses
Primary practice location
5073 Columbia Pike
Suite 240
Spring Hill, TN 37174-8607
Mailing address
126 Tara Rd
Unionville, TN 37180-5039
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH3820 | TN | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Dental Alliance of Crossville, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Franklin, TN
- NPI 1720968639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962576298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 TARA RD",
"city": "UNIONVILLE",
"state": "TN",
"postal_code": "371805039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5073 COLUMBIA PIKE",
"address_2": "SUITE 240",
"city": "SPRING HILL",
"state": "TN",
"postal_code": "371748607",
"telephone_number": "615-302-4200",
"fax_number": "615-302-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "MELBA",
"middle_name": "JOYCE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "DH3820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.