IndividualActive
Marvin Godner, M.D.
NPI 1164439261 · Pediatrics Physician · San Felipe Pueblo, NM
Provider details
- NPI number
- 1164439261
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 75-38 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
711 Pueblo Main Street
San Felipe Pueblo, NM 87001
Phone: (505) 867-3365
Approximate (ZIP-level) locationGet directions
Mailing address
2313 Calle Colibri
Santa Fe, NM 87505-6301
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.