DR. DENNIS STEPHEN GOODMAN DO
NPI 1720169709
Family Medicine - Geriatric Medicine in Rolla, MO

Active since October 18, 2006
715 ST RT CC, ROLLA, MO 65401(573) 308-7386(573) 341-5300 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dennis Stephen Goodman Do NPPES

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

DR. DENNIS STEPHEN GOODMAN DO (NPI 1720169709) is an individual geriatric medicine provider in Rolla, Missouri, licensed in Missouri (RSB71) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1720169709
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. DENNIS STEPHEN GOODMANCredential: DO
Location Address715 ST RT CCRolla, MO 65401
Mailing AddressPo Box 918Rolla, MO 65402 · Fax (573) 341-5300
Fax(573) 341-5300
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 22, 2008
NPI 1720169709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in MO · RSB71
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
715 ST RT CC, Rolla, MO 65401

Other Identifiers 4

Other080052033MO · Railroad Medicare
Medicare UPINE61447
Medicare ID-Type Unspecified000001553
Medicaid241605948MO

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
715 ST RT CC
ROLLA, MO 65401

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 Dennis Goodman's NPI number?

The NPI number for Dennis Goodman is 1720169709. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Dennis Goodman located?

Dennis Goodman practices at 715 St Rt Cc, Rolla, MO 65401. The listed phone number is (573) 308-7386.

What is Dennis Goodman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Dennis Goodman was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.