DR. JAMES CLINTON GOODWIN (NPI# 1366495087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366495087 |
| Entity Type | Individual |
| Full Name | DR. JAMES CLINTON GOODWIN |
| Credential | DMD |
| Practice Address |
3192 N Windsong Dr Prescott Valley AZ 86314-2239 |
| Practice Telephone | 9287784555 |
| Practice Fax Number | 9287784560 |
| Mailing Telephone | 9287784555 |
| Mailing Fax Number | 9287784560 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | AZ03540 | AZ | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10134 N Oracle Rd Ste 170, Oro Valley, AZ 857047612 | 5208483889 | 5209893134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770822207 | James Oscar Goodwin | Obstetrics & Gynecology | 1740 Parker Ln, Henderson, NC 27536-3541 | 2013-02-04 |
| 1689869521 | James P Goodwin | Counselor | 509 Whitingham Dr, Silver Spring, MD 20904-6330 | 2007-09-13 |
| 1457559676 | James Gregg Goodwin | Marriage & Family Therapist | 503 Covil Ave Ste 102, Wilmington, NC 28403 | 2007-07-10 |
| 1689732307 | James Goodwin | Occupational Therapist | 1765 N Broadway Ave, Bartow, FL 33830-3104 | 2006-12-05 |
| 1235143876 | James Randall Goodwin | Registered Nurse | 9222 Acorn Dr, Woodway, TX 76712-3322 | 2006-07-28 |
| 1912937772 | James A Goodwin | Family Medicine | 37 Oakes Ave, Southbridge, MA 01550-4011 | 2006-07-04 |
| 1104824218 | James D. Goodwin | Psychologist | 25 N Wenatchee Ave, #210a, Wenatchee, WA 98801-2282 | 2005-07-12 |
| 1669979126 | James Goodwin | Physical Therapy Assistant | 207 Meetinghouse Rd, Bedford, NH 03110-6090 | 2018-04-11 |
| 1770085060 | James Goodwin | Case Manager/Care Coordinator | 301 Nw F St, Grants Pass, OR 97526-2051 | 2018-03-02 |
| 1225307879 | James W Goodwin | Specialist/Technologist, Other | 9715 Burnet Rd, #100, Austin, TX 78758-5215 | 2011-12-27 |
| Street Address |
3192 N WINDSONG DR |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932518404 | Prescott Valley Dental Group, LLP | Dentist | 3264 Glassford Hill Road, Ste. A, Prescott Valley, AZ 86314 | 2014-08-08 |
| 1750623559 | Edward M. Reifman, Dds Inc | Dentist | 3264 N Glassford Hill Rd Ste A, Prescott Valley, AZ 86314-1353 | 2013-03-20 |
| 1184914616 | Sean C Reed | Dentist | 8053 E Florentine Rd, Prescott Valley, AZ 86314-9423 | 2011-04-18 |
| 1366636540 | Matthew Bergman | Dentist | 8154 E Florentine Rd Ste B, Prescott Valley, AZ 86314-8487 | 2007-08-30 |
| 1245366798 | Kenyon Thomas Banfield | Dentist | 2485 Great Western Ste E, Prescott Valley, AZ 86314 | 2007-02-26 |
| 1619021425 | David Frausto Jr. | Dentist | 7136 Pav Way, Prescott Valley, AZ 86314-2264 | 2007-01-22 |
| 1346310414 | Kelly James Larson | Dentist | 8086 E Florentine Rd, Prescott Valley, AZ 86314-9422 | 2006-11-08 |
| 1972619153 | Richard William Zapfe | Dentist | 3253 North Windsong Dr, Prescott Valley, AZ 86314 | 2006-08-21 |
| 1396369609 | Cheryl Ligon | Dentist | 7136 Pav Way, Prescott Valley, AZ 86314-2264 | 2020-06-02 |
| 1134786486 | Kaylan Rose Huber | Dentist | 7136 Pav Way, Prescott Valley, AZ 86314-2264 | 2019-05-22 |
| Find all providers in PRESCOTT VALLEY | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.