Individual provider Active NPI

Sandy G. Goldenberg, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boca Raton, FL
National Provider Identifier
1184819682
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN16622 Issued in FL
Practice address
2151 NW 2ND Ave Ste 102
Boca Raton, FL 33431-6766
Phone
(561) 395-1190
NPI assigned
Sep 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN16622 FL Primary

Addresses

Primary practice location

2151 NW 2ND Ave Ste 102
Boca Raton, FL 33431-6766

Mailing address

20201 E. Country Club Dr.
#2703
Aventura, FL 33180

Other practice location 1

1869 N 66th Ave
Hollywood, FL 33024-4017
Phone (954) 983-3992

Other practice location 2

18300 NW 62nd Ave Ste 120
Hialeah, FL 33015-8207
Phone (305) 570-1777

Other practice location 3

3600 Red Rd Ste 604
Miramar, FL 33025-6016
Phone (954) 430-7789

Other practice location 4

1037 S State Road 7 Ste 211
Wellington, FL 33414-6139
Phone (561) 839-1802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN16622FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Henao and Associates Dental Group Past Accepting new patients
Veneto Dental Care Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184819682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20201 E. COUNTRY CLUB DR.",
            "address_2": "#2703",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 NW 2ND AVE STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316766",
            "telephone_number": "561-395-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1869 N 66th Ave",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330244017",
            "country_code": "US",
            "telephone_number": "954-983-3992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18300 NW 62nd Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330158207",
            "country_code": "US",
            "telephone_number": "305-570-1777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Red Rd Ste 604",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330256016",
            "country_code": "US",
            "telephone_number": "954-430-7789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1037 S State Road 7 Ste 211",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146139",
            "country_code": "US",
            "telephone_number": "561-839-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "SANDY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.