Active NPI
Sandy G. Goldenberg, D.M.D
- Orthodontics and Dentofacial Orthopedics Dentistry
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN16622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN16622 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Hialeah, FL
- NPI 1174925903
-
- Dentist
- Miramar, FL
- NPI 1053606830
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.