Organization Active NPI

David Goldberg, DDS, Ms, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Highland Park, IL
National Provider Identifier
1568910784
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
019029576 Issued in IL
Legal business name
DAVID GOLDBERG, DDS, MS, P.C.
Practice address
332 Skokie Valley Rd
Suite 222
Highland Park, IL 60035-4415
Phone
(847) 831-1100
NPI assigned
Sep 16, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Authorized official

Name
David GoldbergNPI 1487007696
Title
Owner
Phone
(218) 209-8027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 019029576 IL Primary

Addresses

Primary practice location

332 Skokie Valley Rd
Suite 222
Highland Park, IL 60035-4415

Mailing address

332 Skokie Valley Rd
Suite 222
Highland Park, IL 60035-4415

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1568910784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SKOKIE VALLEY RD",
            "address_2": "SUITE 222",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SKOKIE VALLEY RD",
            "address_2": "SUITE 222",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354415",
            "telephone_number": "847-831-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GOLDBERG, DDS, MS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-209-8027"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "019029576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.