DR. DENNIS STEPHEN GOODMAN DO NPI 1720169709

NPI Information

  • NPI: 1720169709
  • Provider Name: DR. DENNIS STEPHEN GOODMAN, DO
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • Address: 715 ST RT CC
    ROLLA, MO
    ZIP 65401
  • Phone: (573) 308-7386

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NPI Details

DR. Dennis Stephen Goodman, DO is a geriatric medicine family medicine in Rolla, MO. The provider is 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. DR. Dennis Stephen Goodman, DO NPI is 1720169709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

715 ST RT CC
ROLLA, MO
ZIP 65401
Phone: (573) 308-7386
Fax: (573) 341-5300

The enumeration date for this NPI number is 10/18/2006 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineRSB71MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080052033OTHERMISSOURIRAILROAD MEDICARE
2E61447MEDICARE UPIN
3000001553MEDICARE ID-TYPE UNSPECIFIED
4241605948MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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