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
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
Mailing address
305 E Broadway St
Bolivar, MO 65613-1625
Registry dates
- Enumerated
- 2026-05-29
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Frequently asked questions
- 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.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.