Jonathan Greenburg, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30452 Issued in CA

Legal business name

JONATHAN GREENBURG, DDS, INC

Practice address

5400 Balboa Blvd Ste 120
Encino, CA 91316-5200

Phone

(818) 205-1122

Fax

(818) 386-8963

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Jonathan Gil Greenburg, D.D.S.

Title

President

Phone

(818) 205-1122

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Lee Garrett, DDS

  • General Practice Dentistry
  • Calabasas, CA
  • NPI 1780893222
  NPD (past)
• James W Kim, D.D.S.

  • Prosthodontics
  • Irvine, CA
  • NPI 1700919248
  NPD (past)
• Sid Solomon, D.D.S.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1477610251
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1306066956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24981 PALMILLA DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023053",
            "telephone_number": "818-205-1122",
            "fax_number": "818-386-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165200",
            "telephone_number": "818-205-1122",
            "fax_number": "818-386-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN GREENBURG, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "GREENBURG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "GIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-205-1122",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30452",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "30452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Johnson, AMFT
• Koshanique Johnson
• Megan Johnson, SLPA
• Randy Viviano Johnson
• Russell Stephen Johnson
• Jonathan Kohan, MD Inc
• Jonathan Oheb MD Inc
• Jonathan Raiman, MD, Inc.
• Jade Jones Bonty
• Deneishia Jones

• General Practice Dentistry in Encino, CA
• Providers in Encino, 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 31, 2017; 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.