Active NPI
David Goldberg, DDS, Ms, P.C.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Highland Park, IL
National Provider Identifier
1568910784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 019029576
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Goldberg
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryPractitioners & 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Highland Park, IL
- NPI 1487007696
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
- Vuong Anh Dang-Duc, MD
- Valentina Danilovski
- Tamara Yahya Daoud, PHARMD
- Lindsey Darin, M.S., CCC-SLP
- Darryl M. Bronson, M.D., S.C. (Darryl M. Bronson, MD, Bonnie L. Barsky, MD)
- David Kagan Medical Corporation SC
- Davis Chiropractic
- Christine Elizabeth Davis, LAC
- Denise Rose Davis, LCSW
- Scott Murray Davis, M.D.
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.