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Deactivated NPI 1427134170 Deactivated / Inactive NPI Male Practitioner

Dr. Jack L. Goodrich , DDS, PC

Dentist - General Practice • Parker, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Goodrich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date October 02, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Goodrich, DDS, PC was a registered Dentist - General Practice practicing in Parker, CO. Throughout an active medical career spanning 19 years, Dr. Goodrich provided care at the practice location at 11031 S PIKES PEAK DR STE 103 until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

11031 S Pikes Peak Dr Ste 103

Parker, CO 801387359

Telephone 3038414580
Fax 3038417765

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Parker, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
40 Specialists

Practicing in Parker, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO 9249

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1124232558

Doctor of Dental Surgery

Dr. Kathleen Cortese , DDS

Dentist - General Practice

NPI 1275785297

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11031 S PIKES PEAK DR STE 103, PARKER, CO 801387359 (Tel: 3038414580)

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Updated Business Mailing Address July 08, 2007

Registered at 7541 PINERIDGE TRL, CASTLE ROCK, CO 801084602 (Tel: 7207338322)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GOODRICH, DDS, PC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9249 in CO)

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Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427134170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Deactivation Date: October 02, 2025

Mailing Address

7541 Pineridge Trl

Castle Rock, CO 801084602

Phone: 7207338322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.