Active NPI
Jessica Goldenberg Dunne, D.D.S.
- General Practice Dentistry
- Ventura, CA
National Provider Identifier
1770828188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61462
- Practice address
- 5700 Ralston St
Suite #310
Ventura, CA 93003-6050 - Phone
- (805) 642-4541
- Fax
- (805) 642-5621
- NPI assigned
- Dec 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61462 | CA | Primary |
Addresses
Primary practice location
5700 Ralston St
Suite #310
Ventura, CA 93003-6050
Mailing address
5700 Ralston St
Suite #310
Ventura, CA 93003-6050
Phone (805) 642-4541
Other names 1
- Dr. Jessica Alise Goldenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61462 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldenberg Dental, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Ventura, CA
- NPI 1235508508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1770828188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 RALSTON ST",
"address_2": "SUITE #310",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036050",
"telephone_number": "805-642-4541",
"fax_number": "805-642-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 RALSTON ST",
"address_2": "SUITE #310",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036050",
"telephone_number": "805-642-4541",
"fax_number": "805-642-5621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNE",
"first_name": "JESSICA",
"middle_name": "GOLDENBERG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "61462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GOLDENBERG",
"middle_name": "ALISE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.