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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BEVERLY GOODMAN DDS
NPI 1720041155
Dentist - General Practice in Pontiac, MI

Active since April 07, 2006Opted out of Medicare · through Jul 21, 2027
1701 BALDWIN AVE, SUITE 200, PONTIAC, MI 48340(248) 338-7333(248) 338-6793 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Beverly Goodman Dds NPPES

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

DR. BEVERLY GOODMAN DDS (NPI 1720041155) is an individual general practice provider in Pontiac, Michigan, licensed in Michigan (2901013967) and active in the NPI registry since April 2006. She has opted out of Medicare through July 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720041155
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BEVERLY GOODMANCredential: DDS
Location Address1701 BALDWIN AVE, SUITE 200Pontiac, MI 48340-3412
Mailing Address1701 Baldwin Ave, Suite 200Pontiac, MI 48340-3412 · (248) 338-7333 · Fax (248) 338-6793
Phone(248) 338-7333
Fax(248) 338-6793
Sole ProprietorNo
Enumeration DateApril 7, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1720041155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901013967
Definition
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.
1701 BALDWIN AVE, Pontiac, MI 48340
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Other Identifiers 1

Medicaid1966258MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Beverly Goodman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 21, 2015 through July 21, 2027.

Opt-Out Effective DateJuly 21, 2015
Opt-Out In Effect ThroughJuly 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48340 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 17

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

STEVEN R BINDER DPM
Podiatrist (Foot & Ankle Surgery)
1701 BALDWIN AVE, B
PONTIAC, MI 48340
Oakland County (248) 338-3668
OAKLAND INTEGRATED HEALTHCARE NETWORK
Durable Medical Equipment & Medical Supplies
1701 BALDWIN AVE
PONTIAC, MI 48340
Oakland County (248) 253-0521
ARNOLD C. FELLMAN, M.D., P.C.
Dermatology
1701 BALDWIN AVE, SUITE 207
PONTIAC, MI 48340
Oakland County (248) 858-2255
MS. HELEN STEWART CPNP
Nurse Practitioner (Pediatrics)
1701 BALDWIN AVE
PONTIAC, MI 48340
Oakland County (248) 724-7600
OAKLAND INTEGRATED HEALTHCARE NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
1701 BALDWIN AVE
PONTIAC, MI 48340
Oakland County (248) 724-7600
OAKLAND INTEGRATED HEALTHCARE NETWORK
Pharmacy (Community/Retail Pharmacy)
1701 BALDWIN AVE, SUITE 100
PONTIAC, MI 48340
Oakland County (248) 253-0521
GREAT LAKES FOOT CARE P.C.
Podiatrist (Foot & Ankle Surgery)
1701 BALDWIN AVE, B
PONTIAC, MI 48340
Oakland County (248) 338-3668
MEGAN MONTGOMERY
Social Worker
1701 BALDWIN AVE
PONTIAC, MI 48340
Oakland County (248) 724-7600

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 Beverly Goodman's NPI number?

The NPI number for Beverly Goodman is 1720041155. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Beverly Goodman located?

Beverly Goodman practices at 1701 Baldwin Ave Suite 200, Pontiac, MI 48340. The listed phone number is (248) 338-7333.

What is Beverly Goodman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Beverly Goodman enrolled in Medicare?

No. Beverly Goodman has opted out of Medicare through July 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Beverly Goodman accept?

Health plans from Guardian and Humana list Beverly 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 Beverly Goodman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.