Active NPI
Lee Roger Goldenberg, D.C.
- Chiropractor
- Birmingham, AL
National Provider Identifier
1215010699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2202
- Practice address
- 140 Village St Ste 201
Birmingham, AL 35242-6436 - Phone
- (205) 981-8090
- NPI assigned
- Oct 23, 2006
- Last updated
- May 9, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2202 | AL | Primary |
Addresses
Primary practice location
140 Village St Ste 201
Birmingham, AL 35242-6436
Mailing address
140 Village St Ste 201
Birmingham, AL 35242-6436
Phone (205) 981-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jemd | Chiropractor | Past | Accepting new patients |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Birmingham, AL
- NPI 1164688560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1215010699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 VILLAGE ST STE 201",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426436",
"telephone_number": "205-981-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 VILLAGE ST STE 201",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426436",
"telephone_number": "205-981-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "LEE",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.