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

DR. KEN G GOODWIN DMD, PA
NPI 1902992043
Dentist - General Practice in Booneville, MS

Q: What is Ken Goodwin's NPI number?

The NPI number for Ken Goodwin is 1902992043. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Ken Goodwin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ken Goodwin was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.

Active since October 05, 2006

403 NORTH THIRD STREET, BOONEVILLE, MS 38829(662) 728-8171(662) 728-1093 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ken G Goodwin Dmd, Pa NPPES

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

DR. KEN G GOODWIN DMD, PA (NPI 1902992043) is an individual general practice provider in Booneville, Mississippi, licensed in Mississippi (1971-82) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1902992043

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEN G GOODWINCredential: DMD, PA

Location Address403 NORTH THIRD STREETBooneville, MS 38829

Mailing AddressPo Box 877Booneville, MS 38829-0877 · (662) 728-8171 · Fax (662) 728-1093

Phone(662) 728-8171

Fax(662) 728-1093

Sole ProprietorYes

Enumeration DateOctober 5, 2006

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1902992043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 1971-82

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.

403 NORTH THIRD STREET, Booneville, MS 38829

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Accepted Insurance

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

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 Ken Goodwin's NPI number?

The NPI number for Ken Goodwin is 1902992043. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Ken Goodwin located?

Ken Goodwin practices at 403 North Third Street, Booneville, MS 38829. The listed phone number is (662) 728-8171.

What is Ken Goodwin's specialty?

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

What insurance does Ken Goodwin accept?

Health plans from Guardian and Humana list Ken Goodwin 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 Ken Goodwin was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.