Greenburg Dental Group, PC.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREENBURG DENTAL GROUP, PC.

Practice address

4418 Vineland Ave Ste 112
Toluca Lake, CA 91602-2159

Phone

(818) 578-3500

Fax

(818) 796-3322

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

Liz Duenas

Title

Office Manager

Phone

(818) 578-3500

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1417699646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 112",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022159",
            "telephone_number": "818-578-3500",
            "fax_number": "818-796-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE STE 112",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022159",
            "telephone_number": "818-578-3500",
            "fax_number": "818-796-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBURG DENTAL GROUP, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "DUENAS",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-578-3500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.