Adam Zachary Goldberg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014071 Issued in GA

Practice address

1016 Beverly Heights Dr
Augusta, GA 30907-3161

Phone

(706) 860-1484

Fax

(706) 868-6856

NPI assigned

Jun 1, 2010

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

Enrolled in GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1447579453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 BEVERLY HEIGHTS DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073161",
            "telephone_number": "706-860-1484",
            "fax_number": "706-868-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BEVERLY HEIGHTS DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073161",
            "telephone_number": "706-860-1484",
            "fax_number": "706-868-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ADAM",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vita L. Goei, MD
• Ankur Goel, M.D.
• Sherwin Goering, DNP
• Gold Cross EMS, Inc.
• Matthew J. Gold, DO
• Steven R Goldberg, DDS PC
• Golden Rule Home Care Agency, LLC
• Antonio Hezmonie Golden
• Bradley Michael Golden, D.O.
• Marat Goldenberg, MD

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.