Organization Active NPI

Goldberg and Myers Dentistry, PLC

Doing business as Convenient Family Dentistry Grand Blanc

  • General Practice Dentistry
  • Grand Blanc, MI
National Provider Identifier
1316410319
Registry record updated Jan 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOLDBERG AND MYERS DENTISTRY, PLC
Doing business as
Convenient Family Dentistry Grand Blanc
Practice address
9499 Holly Rd
Grand Blanc, MI 48439-8351
Phone
(810) 694-7450
NPI assigned
Jan 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2019

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

Authorized official

Name
Dr. Brian S Myers, DDSNPI 1063607844
Title
Co-Owner
Phone
(810) 694-7450

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

9499 Holly Rd
Grand Blanc, MI 48439-8351

Mailing address

9499 Holly Rd
Grand Blanc, MI 48439-8351
Phone (810) 694-7450

Other names 1

  • Convenient Family Dentistry Grand Blanc Doing business as

National Provider Directory

National Provider Directory

Locations

9499 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-7450

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547942400000",
    "number": "1316410319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9499 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398351",
            "telephone_number": "810-694-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9499 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398351",
            "telephone_number": "810-694-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDBERG AND MYERS DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-20",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "810-694-7450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Family Dentistry Grand Blanc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Convenient Family Dentistry Grand Blanc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.