KERRY S. GOODIN, D.D.S., P.C. (NPI# 1760564140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760564140 |
| Entity Type | Organization |
| Organization Name | KERRY S. GOODIN, D.D.S., P.C. |
| Practice Address |
60 W Main St Po Bxo 70 Austin IN 47102-0070 |
| Mailing Address |
Po Box 70 60 W Main St Austin IN 47102-0070 |
| Practice Telephone | 8127942255 |
| Mailing Telephone | 8127942255 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KERRY S GOODIN (CEO) |
| Authorized Official Telephone | 8127942255 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12008972A | IN | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | KERRY S. GOODIN, D.D.S., P.C. | C/o Kerry S. Goodin, D.d.s., 60 West Main St., P.o.box 70, Austin, IN 47102-0070 |
| Street Address |
60 W MAIN ST PO BXO 70 |
| City | AUSTIN |
| State | IN |
| Zip Code | 47102-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659520955 | Kerry S. Goodin | Dentist | 60 W Main St, Austin, IN 47102-1360 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194859942 | Scott County Chiropractic Center, P.s.c. | Chiropractor | 2897 North Highway 31, Austin, IN 47102 | 2007-03-15 |
| 1265403828 | Williams Bros. Health Care Pharmacy, Inc. | Pharmacy | 10 W. Main Street, Austin, IN 47102 | 2006-01-31 |
| 1942613963 | James Gene Wilcox | Emergency Medicine | 45 W Main St, Austin, IN 47102 | 2014-06-06 |
| 1699749770 | William E Cooke Jr. | Emergency Medicine | 25 W Main St, Austin, IN 47102 | 2006-02-15 |
| 1104236363 | Scott County School Corporation District No.1 | Local Education Agency (LEA) | 255 Hwy 31 South, Austin, IN 47102-0009 | 2014-04-28 |
| 1679189492 | Jennifer Winans | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2020-09-17 |
| 1053968297 | Hannah Mae Nance | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2019-08-22 |
| 1497316657 | Katelyn Dakota Jae Mcintosh | Registered Nurse | 25 W Main St, Austin, IN 47102-1303 | 2019-06-27 |
| 1770952897 | Tara Pearcy | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2015-09-18 |
| 1497007751 | Midas Touch Business Holdings, Inc | Chiropractor | 67 W Main St, Austin, IN 47102-1303 | 2012-10-11 |
| Find all providers in zip 47102 | ||||
| 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 |
|---|---|---|---|---|
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
| 1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
| 1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
| 1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
| 1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
| 1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
| 1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
| 1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
| 1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
| Find all providers in AUSTIN | ||||
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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.