Andrew J. Goldenberg PC

Primary specialty

DentistTaxonomy code 122300000X

License

59409 Issued in CA

Legal business name

ANDREW J. GOLDENBERG PC

Practice address

176 Auburn Court
Westlake Village, CA 91362

Phone

(805) 495-9810

NPI assigned

Mar 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Jason Goldenberg, D,D,S,

Title

Dentist

Phone

(805) 495-9810

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1386038990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 AUBURN COURT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-495-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 AUBURN COURT",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91362",
            "telephone_number": "805-495-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J. GOLDENBERG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "805-495-9810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D,D,S,"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.