Roland Goldberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42319 Issued in CA

Practice address

8915 Towne Centre Dr
Ste#112-114
San Diego, CA 92122-5650

Phone

(858) 558-7713

Fax

(858) 558-7849

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093899205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 TOWNE CENTRE DR",
            "address_2": "STE#112-114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225650",
            "telephone_number": "858-558-7713",
            "fax_number": "858-558-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 TOWNE CENTRE DR",
            "address_2": "STE#112-114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225650",
            "telephone_number": "858-558-7713",
            "fax_number": "858-558-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ROLAND",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward A Goldberg, M.D.
• Jarrod Goldberg, DDS
• Joshua Goldberg, MS
• Judith Goldberg
• Kathy Goldberg, PT, MA
• Steven H. Goldberg, MD
• Lawrence E Goldberger, MD
• Ariella Sara Goldblatt, M.D., M.S.
• Samuel Goldeen
• Golden Age Medical Transportation

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• 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.