Vickie S Greenberg a Professional Dental Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

37112 Issued in CA

Legal business name

VICKIE S GREENBERG A PROFESSIONAL DENTAL CORPORATION

Practice address

2035 Lake Ave
Altadena, CA 91001-2444

Phone

(626) 798-7645

Fax

(626) 798-7089

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vickie Sue Greenberg, D.D.S.NPI 1528129822

Title

Orthodontist

Phone

(626) 798-7645

Specialties & licenses 1

Addresses

Other names 1

• Vickie S Greenberg A Professional Dental Corporation Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vickie Sue Greenberg, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Altadena, CA
  • NPI 1528129822
  NPD Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1104029065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012444",
            "telephone_number": "626-798-7645",
            "fax_number": "626-798-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LAKE AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910012444",
            "telephone_number": "626-798-7645",
            "fax_number": "626-798-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKIE S GREENBERG A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "626-798-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "37112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vickie S Greenberg A Professional Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vickie S Greenberg A Professional Dental Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fernel Vasquez
• Jennifer Medina Vaughn
• Lauren Veca, DOULA
• Michelle Emiko Velasquez, L.AC.
• Fernando Verdugo, D.M.D., PHD
• Alissa Christine Villanueva
• Juan Viton
• Nicolas Dennis Vlachakis, M.D.
• Tram-Anh (Julie) Hoang Vo
• Barbara Waffer

• Orthodontics and Dentofacial Orthopedics Dentistry in Altadena, CA
• Providers in Altadena, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.