Ira Goldberg, D.M.D., PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

051130 Issued in NY

Legal business name

IRA GOLDBERG, D.M.D., PLLC

Practice address

1044 Northern Blvd
Suite 108
Roslyn, NY 11576-1514

Phone

(516) 484-1123

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ira Elliot Goldberg, D.M.D.NPI 1568893881

Title

Member

Phone

(516) 484-1123

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ira Goldberg, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Roslyn, NY
  • NPI 1568893881
  NPD (past) Authorized official

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1538353271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "address_2": "SUITE 108",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761514",
            "telephone_number": "516-484-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "address_2": "SUITE 108",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761514",
            "telephone_number": "516-484-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA GOLDBERG, D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-484-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "051130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Ilyabayeva
• Integrative Sports Physical Therapy
• Interventional Cardiovascular Associates PLLC
• Lee Introp, LCSW
• Muhammad Iqbal, MD
• Island Interventional Cardiology,P.C.
• Diana D. Ivezaj, NP
• Jag Nutrition PLLC
• Chetak Jain, PHARMD
• Jonathan Brett Jassey, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.