Eric M Goldberg, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

2901015667 Issued in MI

Practice address

2414 S Center Rd
Burton, MI 48519-1152

Phone

(810) 744-3388

Fax

(810) 744-4080

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Convenient Family Dentistry, P.C.

  • General Practice Dentistry
  • Burton, MI
  • NPI 1174675698
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629286513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191152",
            "telephone_number": "810-744-3388",
            "fax_number": "810-744-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191152",
            "telephone_number": "810-744-3388",
            "fax_number": "810-744-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "2901015667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray George
• Rosana Shalon Gibson
• Javon Gill, MD
• Samuel Gill, PT
• Lauren Glomski
• Takyla Alise Golston
• Amy Lyn Gomez, RN
• Eureka Goodman
• Goodwill Optical Inc (Goodwill Optical)
• Grace & Hope Home Care LLC

• Prosthodontics in Burton, MI
• Providers in Burton, MI by specialty
• Prosthodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.