DR. FREDISHA MANNING GOODFELLOW D.M.D
NPI 1982969853
Dentist in West Memphis, AR

Q: What is Fredisha Goodfellow's NPI number?

The NPI number for Fredisha Goodfellow is 1982969853. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Q: What is Fredisha Goodfellow's specialty?

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

Active since July 06, 2012PECOS Enrolled

900 N 7TH ST, WEST MEMPHIS, AR 72301(870) 733-6334(870) 735-4379 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Fredisha Manning Goodfellow D.m.d NPPES

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

DR. FREDISHA MANNING GOODFELLOW D.M.D (NPI 1982969853) is an individual dentist in West Memphis, Arkansas, licensed in Arkansas (3873) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982969853

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. FREDISHA MANNING GOODFELLOWCredential: D.M.D

Location Address900 N 7TH STWest Memphis, AR 72301-2001

Mailing Address900 N 7th StWest Memphis, AR 72301-2001 · (870) 733-6334 · Fax (870) 735-4379

Phone(870) 733-6334

Fax(870) 735-4379

Sole ProprietorNo

Enumeration DateJuly 6, 2012

Last NPPES UpdateApril 17, 2015

✔ NPI 1982969853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in AR · 3873✔ Licensed in TX · 28054✔ Licensed in TN · 9471

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.

900 N 7TH ST, West Memphis, AR 72301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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. Fredisha Manning Goodfellow D.m.d 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 72301 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 20

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

DR. JAMES LANGSTON COWAN III M.D.

Pediatrics (Adolescent Medicine)