Dr Roland Goldberg Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

42319 Issued in CA

Legal business name

DR ROLAND GOLDBERG DENTAL CORPORATION

Practice address

8915 Towne Centre Dr # 112-114
San Diego, CA 92122-5650

Phone

(858) 558-7713

Fax

(858) 558-7849

NPI assigned

May 11, 2017

Last updated

May 11, 2017By 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

Roland Goldberg, DDSNPI 1093899205

Title

Owner

Phone

(858) 558-7713

Specialties & licenses 1

Addresses

Locations

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.

• Roland Goldberg, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1093899205
  Authorized official Same address or phone

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1316473267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 TOWNE CENTRE DR # 112-114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225650",
            "telephone_number": "858-558-7713",
            "fax_number": "858-558-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 TOWNE CENTRE DR # 112-114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225650",
            "telephone_number": "858-558-7713",
            "fax_number": "858-558-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROLAND GOLDBERG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-558-7713",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.