Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801995725 Individual Practitioner Male Practitioner

Dr. Gary Lamar Goodyear , DDS

Dentist - General Practice • Keller, TX

Professional Overview & Biography Verified Profile Summary

Dr. Gary Goodyear, DDS is a registered healthcare professional specializing in Dentist - General Practice in Keller, TX. Practice services are available at 841 KELLER PKWY #203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

841 Keller Pkwy #203

Keller, TX 76248

Telephone 8177417000
Fax 8177451100
Associated Practice Facility / Clinic
🏢 Tran Keller Dds Incorporated Facility NPI 1437514593

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Keller, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
31 Specialists

Practicing in Keller, TX (10570 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

CMS Verified: 2020-10-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 11320

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Board
11320 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1760604599

Doctor of Dental Surgery

Dr. Simon Tran , DMD

Dentist - General Practice

NPI 1912622465

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 21, 2020

Registered at 841 KELLER PKWY #203, KELLER, TX 76248 (Tel: 8177417000)

📍
Updated Business Mailing Address October 21, 2020

Registered at 841 KELLER PKWY #203, KELLER, TX 76248 (Tel: 8177417000)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 625 N CARRIER PKWY, #100, GRAND PRAIRIE, TX 76050 (Tel: 9722621523)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 530722, 625 N CARRIER PKWY #100, GRAND PRAIRIE, TX 76050 (Tel: 9722621523)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY GOODYEAR, DDS

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

Dentist (License #11320 in TX)

🟢
Initial NPI Registration & Enumeration September 21, 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: 1801995725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: October 21, 2020
Sole Proprietor: Yes

Mailing Address

841 Keller Pkwy #203

Keller, TX 76248

Phone: 8177417000

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.