IndividualActive
Mark Goodwin, MFN, RDN, LD
NPI 1629888136 · Registered Dietitian · Dayton, OH
Provider details
- NPI number
- 1629888136
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MFN, RDN, LD
- Sex
- Male
- Sole proprietor
- No
- License
- LD7271 (OH)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2555 S Dixie Dr Ste 112
Dayton, OH 45409-1532
Phone: (937) 220-6611
Approximate (ZIP-level) locationGet directions
Mailing address
831 Cherry Blossom Dr
West Carrollton, OH 45449-1517
Registry dates
- Enumerated
- 2025-01-08
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.