Organization Active NPI

Aaron S. Goldberg DDS PC

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1285944314
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
142749 Issued in UT
Legal business name
AARON S. GOLDBERG DDS PC
Practice address
1050 E 3300 S Ste 103
Salt Lake City, UT 84106-3997
Phone
(801) 487-2206
Fax
(801) 487-4463
NPI assigned
Oct 7, 2010
Last updated
Feb 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Aaron S GoldbergNPI 1033323720
Title
President
Phone
(801) 487-2206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 142749 UT Primary

Addresses

Primary practice location

1050 E 3300 S Ste 103
Salt Lake City, UT 84106-3997

Mailing address

1050 E 3300 S Ste. 103
Salt Lake City, UT 84106
Phone (801) 487-2206

National Provider Directory

National Provider Directory

Locations

1050 E 3300 S
Ste 103
Millcreek, UT 84106
Phone (801) 487-2206

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1285944314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E 3300 S STE. 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84106",
            "telephone_number": "801-487-2206",
            "fax_number": "801-487-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E 3300 S STE 103",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063997",
            "telephone_number": "801-487-2206",
            "fax_number": "801-487-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON S. GOLDBERG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-487-2206"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "142749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.