Rebecca Goldberg, DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

REBECCA GOLDBERG, DDS, PLLC

Doing business as

A Wild Smile

Practice address

2975 Roslyn St Unit 160
Denver, CO 80238-3326

Phone

(720) 945-1234

Fax

(720) 945-1235

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Debbie Fitzgerald

Title

Practice Manager

Phone

(720) 945-1234

Specialties & licenses 1

Addresses

Other names 1

• A Wild Smile Doing business as

Locations

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1487211124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 ROSLYN ST UNIT 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383326",
            "telephone_number": "720-945-1234",
            "fax_number": "720-945-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 ROSLYN ST UNIT 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383326",
            "telephone_number": "720-945-1234",
            "fax_number": "720-945-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA GOLDBERG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "720-945-1234"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Wild Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.