About

We send a signal when a healthcare practice opens.

A weekly intelligence service for vendors selling into newly opened US healthcare practices. Built by one founder, transparent about methodology, vendor-neutral by design.

Why this exists

Every week, roughly 100 new healthcare practices open in the United States — dental, medical, veterinary. Each one will spend the next 30 to 60 days choosing roughly 40 different vendors. Phone systems. Practice management software. Supply distributors. Marketing partners. Lenders. Accountants. Equipment. Insurance verification. Patient communication. Lab partnerships. The list runs long.

The vendor that gets to a new practice in week 1 of opening is the incumbent for the next several years. The vendor that arrives at week 13 is competing against incumbents.

Most B2B data tools surface newly opened practices 60 to 90 days after they register their NPI — well past the vendor decision window. By the time a practice shows up in Definitive Healthcare or ZoomInfo, the most important vendor decisions have already been made by someone else.

OpeningSignal exists to close that gap. Every Monday, we deliver newly opened practices to subscribers within 7 days of NPI registration — verified contacts, AI-generated cold email openers, sub-specialty filtering, and CRM-ready format. Subscribers reach practices before vendor decisions lock in. That timing changes the math of outbound entirely.

The vendor that gets there first is the incumbent. Everyone else is bidding for second place.

Our principles

PRINCIPLE 01
Transparency about sources
We tell subscribers exactly where every record comes from — NPPES, state licensure boards, Google Business Profile, active-line phone databases. No proprietary black boxes. If a record is wrong, you can verify why and we fix it.
PRINCIPLE 02
Vendor-neutral by design
We don't sell to specific vendor categories preferentially. A dental supply distributor and a healthcare lender get the same data quality. We don't broker introductions, take referral fees, or favor one subscriber over another.
PRINCIPLE 03
Confidence levels, never illusions
Every contact ships at one of two confidence levels: High (verified across 5 sources) or Medium (3-4 agree). We don't ship Low-confidence records. If our verification stack disagrees, the record stays out of the digest.
PRINCIPLE 04
No patient data, ever
We work exclusively with practice-level information from public sources — NPI registrations, business filings, owner names, practice addresses. We never touch patient information of any kind. HIPAA isn't relevant to our data because we don't have patient data.

How the data is built

OpeningSignal isn't a single data source. It's a verification stack — five independent sources that we cross-reference every Monday morning. A record only ships if at least three sources agree on the practice's existence, address, and primary contact.

The Monday morning pipeline

  1. Pull NPPES Type 2 registrations from the federal CMS API for the past 7 days. This is the foundation — every legitimate healthcare practice registers an NPI.
  2. Cross-reference state licensure boards to confirm the practice has active licensure in its state. Eliminates ~15-20% of NPI registrations that aren't currently operating practices.
  3. Match against Google Business Profile to confirm operations and capture the verified practice phone — much more accurate than the registry phone, which is often a billing entity.
  4. Verify against corporate filings from Secretary of State databases to confirm the legal entity exists.
  5. Validate phone numbers against active-line databases. Records where the phone number is dead or wrong don't ship.
  6. Generate a cold email opener per practice — referencing the practice name, location, or specialty. Designed as a starting point your team rewrites in their voice, not finished copy.
  7. Filter and deliver per each subscriber's territory and specialty configuration. CSV format, attached to a Monday email, in your inbox by 7 AM your time zone.

This isn't sophisticated data engineering. It's painstaking, methodical verification — the work most data tools skip because it doesn't scale gracefully past a few thousand records per week. At our volume (100-300 newly opened practices per week), the verification work is exactly the right shape.

Who runs OpeningSignal

John
Founder · Solo operator
Based Indiana, USA
Building since 2026
Time commitment Full focus
Contact john@

OpeningSignal is run by one person, deliberately. The product, the data verification, the customer support, the cold outreach, the case studies — all of it goes through one founder. No outsourced support, no offshore data team, no aggressive growth marketing layer between the customer and the person who built the thing.

This is a strategic choice, not a temporary phase. The first 100 customers will work directly with the founder because that's how the product gets right — through tight feedback loops between the people using the data and the person making decisions about it. After 100 customers, the architecture will need to evolve. Until then: one operator, full ownership, no hidden layers.

If you reach out, you reach the founder. If you have a feature request, the founder decides. If something breaks, the founder fixes it. The downside: occasional slower response times during peak focus periods. The upside: every customer's voice has direct influence on the product's direction.

New practices / week
100-300
Across US healthcare
Verification sources
5
Cross-referenced per record
High-confidence rate
78%
Week 1 of opening
Delivery
Mon
7 AM your time zone

Who we serve

Five buyer pools find OpeningSignal directly useful:

If you sell into newly opened US healthcare practices and you're sourcing through Definitive Healthcare, ZoomInfo, or DIY scraping — you're our customer. We're built specifically for the new-practice window where those tools fall short.

If your customers are established practices (5+ years operating), we're not the right tool. Definitive will serve you better. We don't compete in established-practice analytics.

For partners and journalists

Press inquiries

We're early. The product is in launch phase, the customer base is small but growing, and the founder is happy to talk to journalists covering B2B SaaS, healthcare data, solo founder economics, or vertical SaaS strategy. We don't have a polished PR shop. You'll get a real conversation with the person building it.

What we'll talk about: the methodology, the buyer pools, the build-in-public journey, the realistic path to $300K ARR, and what we're learning from the first 25 customers.

What we'd rather not discuss: revenue specifics in early stages (we'll share once material), customer-specific information without their explicit permission, or speculation about future product directions we haven't committed to.

Contact: john@theopeningsignal.com · Subject line: "Press inquiry"

Partnership inquiries

OpeningSignal partners with two types of organizations:

If your organization serves member firms or member companies that sell into healthcare practices — and you're looking for member benefits that compound over time — we'd want to talk.

Contact: john@theopeningsignal.com · Subject line: "Partnership inquiry"

See last week's data, free

Get a sample CSV of newly opened practices in your territory. No card required. No follow-up sequence. The data speaks for itself.