DR. JUSTIN RYAN GOODMAN DDS
NPI 1588813992
Dentist in Clackamas, OR

Active since September 10, 2008PECOS Enrolled
13023 SE 84TH AVE STE A, CLACKAMAS, OR 97015(503) 353-9992 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Ryan Goodman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN RYAN GOODMAN DDS (NPI 1588813992) is an individual dentist in Clackamas, Oregon, licensed in Oregon (D9165) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588813992
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JUSTIN RYAN GOODMANCredential: DDS
Location Address13023 SE 84TH AVE STE AClackamas, OR 97015-9798
Mailing Address13023 Se 84th Ave Ste AClackamas, OR 97015-9798 · (503) 353-9992
Sole ProprietorNo
Enumeration DateSeptember 10, 2008
Last NPPES UpdateJanuary 22, 2010
NPI 1588813992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OR · D9165
Definition
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.
13023 SE 84TH AVE STE A, Clackamas, OR 97015

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Justin Ryan Goodman Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015
Dental Hygienist
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015
Dentist (General Practice)
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015
Dentist
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015
Dental Hygienist
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Goodman's NPI number?

The NPI number for Justin Goodman is 1588813992. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Justin Goodman located?

Justin Goodman practices at 13023 SE 84th Ave Ste A, Clackamas, OR 97015. The listed phone number is (503) 353-9992.

What is Justin Goodman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Justin Goodman enrolled in Medicare?

Yes. Justin Goodman is registered in the Medicare PECOS enrollment system.

What insurance does Justin Goodman accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Justin Goodman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Goodman was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.