Organization Active NPI

Ronald M. Gerecht DDS & H. Michael Goldberg DDS a Professional Corp

  • General Practice Dentistry
  • Burbank, CA
National Provider Identifier
1629082052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RONALD M. GERECHT DDS & H. MICHAEL GOLDBERG DDS A PROFESSIONAL CORP
Practice address
2031 W Alameda Ave
Suite 320
Burbank, CA 91506-2958
Phone
(818) 953-5401
Fax
(818) 953-2811
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Herbert Michael Goldberg, D.D.S.
Title
President
Phone
(818) 953-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2031 W Alameda Ave
Suite 320
Burbank, CA 91506-2958

Mailing address

2031 W Alameda Ave
Suite 320
Burbank, CA 91506-2958
Phone (818) 953-5401

National Provider Directory

National Provider Directory

Locations

2031 W Alameda Ave
Ste 320
Burbank, CA 91506
Phone (818) 953-5401

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629082052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 W ALAMEDA AVE",
            "address_2": "SUITE 320",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062958",
            "telephone_number": "818-953-5401",
            "fax_number": "818-953-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 W ALAMEDA AVE",
            "address_2": "SUITE 320",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062958",
            "telephone_number": "818-953-5401",
            "fax_number": "818-953-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M. GERECHT DDS & H. MICHAEL GOLDBERG DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-953-5401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.