Lisa Goldberg, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2901015879 Issued in MI

Practice address

1814 S Rochester Rd
Rochester Hills, MI 48307-3532

Phone

(248) 608-2626

Fax

(248) 608-8149

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Arnold Tracht, DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rochester Hills, MI
  • NPI 1861508657

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043326879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073532",
            "telephone_number": "248-608-2626",
            "fax_number": "248-608-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073532",
            "telephone_number": "248-608-2626",
            "fax_number": "248-608-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901015879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Gleason, L.P.
• Amanda Palmira Glorio, M.A., BCBA, LBA
• Robert O Go, MD
• Austin Goddard, DPT
• Nicholas S Goettel, PT
• Rosalyn S Goldberg, MA, LLP
• Theodore Alfred Paul Golden, M.D.
• Sarah Margaret Cardy Goncalves, PT, DPT
• Osvaldo Israel Gonzalez Osorio
• Good Plan Homecare LLC

• Pediatric Dentistry in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Pediatric Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.