Organization Active NPI

Martin S Goldberg DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Chester, PA
National Provider Identifier
1639262462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS013248L Issued in PA
Legal business name
MARTIN S GOLDBERG DDS PC
Practice address
203 S High St
West Chester, PA 19382-3403
Phone
(610) 696-8966
Fax
(610) 436-4903
NPI assigned
Oct 2, 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. Martin S Goldberg, DDS PC
Title
President
Phone
(610) 696-8966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS013248L PA Primary

Addresses

Primary practice location

203 S High St
West Chester, PA 19382-3403

Mailing address

203 S High St
West Chester, PA 19382-3403
Phone (610) 696-8966

National Provider Directory

National Provider Directory

Locations

203 S High St
West Chester, PA 19382
Phone (610) 696-8966

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639262462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S HIGH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823403",
            "telephone_number": "610-696-8966",
            "fax_number": "610-436-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S HIGH ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193823403",
            "telephone_number": "610-696-8966",
            "fax_number": "610-436-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN S GOLDBERG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-696-8966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PC"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS013248L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

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.