Andrew Jason Goldenberg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59409 Issued in CA

Practice address

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

Phone

(805) 495-9810

Fax

(805) 446-4133

NPI assigned

Jul 17, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Andrew Goldenberg, D.D.S., Inc.

  • General Practice Dentistry
  • Thousand Oaks, CA
  • NPI 1255057030
  NPD Authorized official
• Daniel Herrera DDS Inc

  • General Practice Dentistry
  • Tarzana, CA
  • NPI 1891551339
  NPD (past)

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1265745368",
    "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": {
        "last_name": "GOLDENBERG",
        "first_name": "ANDREW",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-17",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Golbar, MFT
• Robert A Gold, MD
• Karyn Jill Goldberg, D.C.
• Michael H. Goldberg, M.D.
• Debra Goldblatt, M.F.T.
• Ellyn S. Goldstein, MS
• Ronald L. Goldstein, O.D.
• Michael H Gollub, M.D.
• Stephanie Golnik, MPT,DPT,CLT
• Majid Golzari, M.D.

• 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.