MICHAEL D GOODWIN (NPI# 1477734598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477734598 |
| Entity Type | Individual |
| Full Name | MICHAEL D GOODWIN |
| Credential | DDS, MS |
| Practice Address |
11045 Broadway Suite B Crown Point IN 46307-7474 |
| Mailing Address |
11045 Broadway Crown Point IN 46307-7473 |
| Practice Telephone | 2196621200 |
| Practice Fax Number | 2196621888 |
| Mailing Telephone | 2196621200 |
| Mailing Fax Number | 2196621888 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
7552 | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616642 | Michael Goodwin | Student in an Organized Health Care Education/Training Program | 51 N 39th St, Philadelphia, PA 19104-2640 | 2016-05-06 |
| 1447635743 | Michael B Goodwin | Social Worker | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2015-07-28 |
| 1649526955 | Michael Anthony Goodwin | Dentist | 1005 Long Prairie Rd, Suite 100, Flower Mound, TX 75022-4241 | 2012-07-24 |
| 1568756591 | Michael D Goodwin | Family Medicine | 18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, OR 97224-7258 | 2011-06-07 |
| 1558674382 | Michael Eugene Goodwin | Physician Assistant | 4939 W Ray Rd, #4-508, Chandler, AZ 85226-2065 | 2010-07-21 |
| 1386777928 | Michael W Goodwin | Psychologist | 576 State St, Springfield, MA 01109-4104 | 2007-03-13 |
| 1114017837 | Michael J Goodwin | Orthopaedic Surgery | 1000 Ashland Dr, Suite 103, Ashland, KY 41101-7057 | 2006-10-13 |
| 1619913845 | Michael J Goodwin | Physician Assistant | 619 19th Street South, Birmingham, AL 35233 | 2006-06-22 |
| 1053303529 | Michael Goodwin | Anesthesiology | 1140 Lexington Rd, Georgetown, KY 40324-9330 | 2005-08-19 |
| Street Address |
11045 BROADWAY SUITE B |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801986187 | Mark H. Kowal | Dentist | 11045 Broadway, Suite C, Crown Point, IN 46307-7473 | 2006-10-15 |
| 1770767816 | Mark H. Kowal, Dds & Vera Andjelkovic, Dds | Dentist | 11045 Broadway, Suite C, Crown Point, IN 46307-7473 | 2007-12-26 |
| 1730268178 | Vera Andjelkovic | Dentist | 11045 Broadway, Suite C, Crown Point, IN 46307-7473 | 2006-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649395567 | Puntillo Orthodontics, PC | Dentist | 1539 South Court St, Crown Point, IN 46307-4809 | 2007-03-20 |
| 1558486472 | Anthony Myers Puntillo | Dentist | 1539 S. Court Street, Crown Point, IN 46307-4809 | 2007-03-20 |
| 1306098793 | Christopher Crane | Dentist | 1549 S Court St, Suite A, Crown Point, IN 46307-4809 | 2008-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1720695828 | Candid Indiana, P.C. | Dentist | 5 Washington St Fl 3, Valparaiso, IN 46383-4768 | 2020-09-23 |
| 1992357453 | Brace Yourself Orthodontics LLC | Dentist | 16329 State Road 23, South Bend, IN 46635-1457 | 2019-07-15 |
| 1417515255 | Mark Rex Rosenthall | Dentist | 3901 N Wheeling Ave, Muncie, IN 47304-1769 | 2019-06-05 |
| 1275190183 | Evan Randall Schmidt | Dentist | 3110 Willowcreek Rd, Portage, IN 46368-4424 | 2019-05-27 |
| 1508325879 | Rlm Orthodontics LLC | Dentist | 298 S 10th St Ste 100, Noblesville, IN 46060-2741 | 2019-03-17 |
| 1699234955 | Stonegate Orthodontics LLC | Dentist | 6857 W Stonegate Dr Ste B, Zionsville, IN 46077-8023 | 2019-03-17 |
| 1467917278 | Michael J Hacken | Dentist | 51565 Bittersweet Rd, Granger, IN 46530-8859 | 2019-02-06 |
| 1992290746 | Bbb of In, LLC | Dentist | 905 S College Mall Rd, Bloomington, IN 47401-6302 | 2018-06-25 |
| 1518456557 | Smile Doctors of Indiana, P.C. | Dentist | 1410 S Quail Run Rd, Vincennes, IN 47591-6845 | 2018-05-04 |
| Find all providers with the same taxonomy | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on MICHAEL D GOODWIN.
| 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.