Barry J Goldberg, DMD MSCD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

13336 Issued in MA

Practice address

800 Boylston St Ste 200
Boston, MA 02199-8176

Phone

(617) 259-1100

Fax

(617) 536-6061

NPI assigned

Jan 22, 2007

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 7, 2017 through Nov 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barry J Goldberg DMD PC

  • Dental Clinic/Center
  • Boston, MA
  • NPI 1689100943
  Authorized official Same address or phone
• Barry J Goldberg DMD PC

  • Dental Clinic/Center
  • Newton Centre, MA
  • NPI 1811284664
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1386798874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590043",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024590001",
            "telephone_number": "617-244-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOYLSTON ST STE 200",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021998176",
            "telephone_number": "617-259-1100",
            "fax_number": "617-536-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Centre St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newton Centre",
            "state": "MA",
            "postal_code": "024592414",
            "country_code": "US",
            "telephone_number": "617-964-0063",
            "fax_number": "617-964-4913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Centre St Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Newton Centre",
            "state": "MA",
            "postal_code": "024592415",
            "country_code": "US",
            "telephone_number": "617-244-4871",
            "fax_number": "617-965-9497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "BARRY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD MSCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "13336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa B Goldberg, MD MPH
• Alissa Jo Goldberg, PA-C
• Amanda Beth Goldberg, PA-C
• Andrea M. Goldberg, LCSW
• Annette Moser Goldberg, RDN
• Cheryl Marie Goldberg, CRNA
• Eli Goldberg, MD
• Hilary J Goldberg, MD
• Jessica Marie Goldberg, MD
• Joan H. Goldberg, MD

• Endodontics in Boston, MA
• Providers in Boston, MA by specialty
• Endodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.