Bernard Goldman, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

039676 Issued in NY

Practice address

18 Wilderness Lane
Valatie, NY 12184

Phone

(518) 758-6359

NPI assigned

Jul 25, 2008

Last updated

Jul 25, 2008By 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 NY

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

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.

• Columbia Dental Assoc.

  • Dental Clinic/Center
  • Valatie, NY
  • NPI 1295953248
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1740445006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WILDERNESS LANE",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-758-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WILDERNESS LANE",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-758-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "039676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Edward Fox, PHD
• Christina Francis, MBA, OTR/L
• Nadja Garland, FNP-BC
• Megan Catherine Geary
• Jeffrey Adam Gibeault, LICENSED OPTICIAN
• Jill M Guenther, FNP-BC
• Sara Heimroth, NPP
• Kalee Hennig
• Patricia E Hentze, RPA-C
• Christine Hertler, CDE, RN

• Endodontics in Valatie, NY
• Providers in Valatie, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.