Active NPI
Ronald M. Gerecht DDS & H. Michael Goldberg DDS a Professional Corp
- General Practice Dentistry
- Burbank, CA
National Provider Identifier
1629082052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2020
- 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
- Dr. Herbert Michael Goldberg, D.D.S.
- Title
- President
- Phone
- (818) 953-5401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Burbank, CA
- NPI 1154719979
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.