Andrew Goldenberg, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANDREW GOLDENBERG, D.D.S., INC.

Practice address

61 Long CT Ste 110
Thousand Oaks, CA 91360-6083

Phone

(805) 495-9810

Fax

(805) 446-4133

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Goldenberg, DDSNPI 1265745368

Title

Owner/Dentist

Phone

(805) 794-9168

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Jason Goldenberg, D.D.S.

  • General Practice Dentistry
  • Thousand Oaks, CA
  • NPI 1265745368
  NPD Authorized official
• Joseph Martin Farkash, D.D.S.

  • General Practice Dentistry
  • El Dorado Hills, CA
  • NPI 1609223023
  NPD (past)

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1255057030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LONG CT STE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606083",
            "telephone_number": "805-495-9810",
            "fax_number": "805-446-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LONG CT STE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913606083",
            "telephone_number": "805-495-9810",
            "fax_number": "805-446-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW GOLDENBERG, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "805-794-9168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.