Organization Active NPI

Iovanna Goldenberg,DDS & Kira Meyerkova,DDS a Professional Dental Corp

  • General Practice Dentistry
  • Sunland, CA
National Provider Identifier
1679784581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44313 Issued in CA
Legal business name
IOVANNA GOLDENBERG,DDS & KIRA MEYERKOVA,DDS A PROFESSIONAL DENTAL CORP
Doing business as
Sunland Family Dentistry
Practice address
8522 Foothill Blvd
Sunland, CA 91040-1951
Phone
(818) 352-8888
Fax
(818) 352-4451
NPI assigned
May 24, 2007
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
Mrs. Iovanna Goldenberg, DDSNPI 1265550016
Title
Owner
Phone
(818) 352-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44313 CA Primary

Addresses

Primary practice location

8522 Foothill Blvd
Sunland, CA 91040-1951

Mailing address

8522 Foothill Blvd
Sunland, CA 91040-1951
Phone (818) 352-8888

Other identifiers 1

IdentifierTypeStateIssuer
G9343201MedicaidCA

Other names 1

  • Sunland Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679784581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401951",
            "telephone_number": "818-352-8888",
            "fax_number": "818-352-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 FOOTHILL BLVD",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401951",
            "telephone_number": "818-352-8888",
            "fax_number": "818-352-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOVANNA GOLDENBERG,DDS & KIRA MEYERKOVA,DDS A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "IOVANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-352-8888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9343201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunland Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunland, 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.