Howard Goldberg, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17736 Issued in FL

Practice address

2015 US Highway 441 N
Okeechobee, FL 34972-1901

Phone

(863) 763-1951

Fax

(863) 357-2991

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1225123763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 S TIFFANY DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073241",
            "telephone_number": "561-844-9443",
            "fax_number": "561-844-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 US HIGHWAY 441 N",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721901",
            "telephone_number": "863-763-1951",
            "fax_number": "863-357-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076484101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia Garcia
• Trinidad Espiritu Garcia, MD
• Gateway Medical Group LC
• Tammy Jean Gibson, CNA
• Savannah Haley Goggans
• Maria Ines Gonzales
• Madisyn Shayli Gonzalez, PA
• Norma Leticia Goodrich, AG08200038
• Grand Oaks of Okeechobee, Inc.
• Nathalie Grant

• All providers in Okeechobee, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.