Jeffrey Alan Goldberg, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10213 Issued in NC

Practice address

315 N Elm St
High Point, NC 27262-4936

Phone

(336) 887-3168

Fax

(336) 886-6019

NPI assigned

Aug 19, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey a. Goldberg DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • High Point, NC
  • NPI 1922468065
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1003048455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624936",
            "telephone_number": "336-887-3168",
            "fax_number": "336-886-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624936",
            "telephone_number": "336-887-3168",
            "fax_number": "336-886-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 5th Ave",
            "address_2": "MAILBOX #6",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024518779",
            "country_code": "US",
            "telephone_number": "781-647-0772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-19",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "MADN1855246",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Suzich Godwin, MD
• John Morris Goeke, PH.D.
• Amy Elizabeth Coe Goins, LCSW
• Amber Lynn Gold, PA
• Catherine Leigh Gold, PA-C
• Sydney Golden, MS CCC-SLP, CBIS
• Thomas David Goldston
• Alexa Gomez
• Luis Cosme Gonzalez Jr., PA
• Marc Rene Gonzalez, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in High Point, NC
• Providers in High Point, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.