DR. DAVID EARL GOODMAN (NPI# 1033218102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033218102 |
| Entity Type | Individual |
| Full Name | DR. DAVID EARL GOODMAN |
| Credential | DDS |
| Practice Address |
10004 Kennerly Rd Suite 240 St Louis MO 63128 |
| Practice Telephone | 3148493234 |
| Practice Fax Number | 3148493241 |
| Mailing Telephone | 3148493234 |
| Mailing Fax Number | 3148493241 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
011279 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1417236431 | David Goodman | Technician/Technologist | 11029 Mill Centre Dr, Suite 101, Owings Mills, MD 21117-3275 | 2011-08-08 |
| 1407064504 | David M. Goodman | Speech-Language Pathologist | 23480 Sanabria Loop, Bonita Springs, FL 34135-5380 | 2007-05-20 |
| 1548309867 | David Todd Goodman | Optometrist | 107 Lexington Plz, Lexington, TN 38351-1505 | 2007-02-05 |
| 1265588511 | David Edward Goodman | General Practice | 300 Professional Center Dr Ste 326, Novato, CA 94947-4334 | 2007-01-26 |
| 1649380924 | David J Goodman | Psychologist | W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022-4771 | 2006-08-30 |
| 1982639803 | David Wayne Goodman | Psychologist | 2639 Sunset Avenue, Suite B, Rocky Mount, NC 27804-3700 | 2006-07-11 |
| 1619922168 | David L Goodman | Chiropractor | 7256 Rising Sun Ave, Philadelphia, PA 19111-3948 | 2006-05-23 |
| 1487637997 | David L Goodman | Allergy & Immunology | 3601 S Clarkson, Suite 200, Englewood, CO 80113-3946 | 2005-11-29 |
| 1023006467 | David Jason Goodman | Nurse Practitioner | 2611b Se 17th St, Ocala, FL 34471-5520 | 2005-10-10 |
| Street Address |
10004 KENNERLY RD SUITE 240 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447330295 | Steven Davis West | Dentist | 10004 Kennerly Rd, Suite 240, St Louis, MO 63128 | 2006-10-16 |
| 1962518605 | James Norbert Purtell | Internal Medicine | 10004 Kennerly Rd, St Louis, MO 63128 | 2006-08-23 |
| 1619912797 | St Louis Nephrology Associates LLC | Specialist | 10004 Kennerly Rd, Suite 315 A, St Louis, MO 63128 | 2006-06-20 |
| 1790734994 | Nicholas Gourtzelis | Internal Medicine | 10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 | 2006-05-08 |
| 1497712079 | John Mellas | Internal Medicine | 10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 | 2006-04-27 |
| 1982695888 | Steven E. West | Otolaryngology | 10004 Kennerly Rd, Sle 183b, St Louis, MO 63128 | 2005-10-31 |
| 1235120130 | Emily E Ziaee | Otolaryngology | 10004 Kennerly Rd, Sle 183b, St Louis, MO 63128 | 2005-10-31 |
| 1629069521 | Jose A Lima | Otolaryngology | 10004 Kennerly Rd, Ste 183b, St Louis, MO 63128 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1013170711 | John Andrew Schleiffanth | Dentist | 6512 Lansdowne Ave, St Louis, MO 63109-2654 | 2008-07-03 |
| 1033376884 | Cornell C Thomas | Dentist | 3737 N Kings Highway, Suite 108, St Louis, MO 63115 | 2008-05-20 |
| 1255515995 | Timothy A Schaible Dmd PC | Dentist | 1544 Sierra Vista Plaza, St Louis, MO 63138 | 2007-12-18 |
| 1346363116 | William James Hartel | Dentist | 9323 Manchester Rd, St Louis, MO 63119 | 2007-04-09 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| 1013067164 | Alan Samuel Levi | Dentist | 11709 Old Ballas, Ste 100, St Louis, MO 63141-7029 | 2007-01-11 |
| 1063561397 | Ronald Terry Lang | Dentist | 2254 Union Rd, St Louis, MO 63128 | 2007-01-09 |
| 1912056151 | Kleitz Dmd Richardson Dmd PC | Dentist | 13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828 | 2007-01-09 |
| Find all providers in ST LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.