What is Jacob Goodman's NPI number?

Jacob Goodman's National Provider Identifier (NPI) is 1376474098, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacob Goodman's specialty?

Jacob Goodman is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Jacob Goodman located?

Jacob Goodman's practice location on file with NPPES is 305 E Broadway St, Bolivar, MO 65613-1625.

What is Jacob Goodman's phone number?

The practice phone number listed in the NPPES registry for Jacob Goodman is (417) 203-4121.

Is Jacob Goodman's NPI active?

Yes — Jacob Goodman's NPI (1376474098) is active in the NPPES registry as of the last update on 2026-05-29.

IndividualActive

Jacob Goodman

NPI 1376474098 · General Practice Dentistry · Bolivar, MO

Jacob Goodman is a General Practice Dentistry provider in Bolivar, MO (NPI 1376474098).

Provider details

NPI number: 1376474098
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Sex: Male
Sole proprietor: No
License: 2026022880 (MO)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 2026022880 (MO)
Dental Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in 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

305 E Broadway St

Bolivar, MO 65613-1625

Phone: (417) 203-4121

Street-level locationGet directions

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Mailing address