Mark H. Goldenberg, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30340 Issued in CA

Practice address

416 N Bedford Dr
Suite 101
Beverly Hills, CA 90210-4322

Phone

(310) 271-5231

Fax

(310) 271-5235

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Mark H Goldenberg DDS a Dental Corp Darrin J Hirt DDS Ms Inc

  dba Beverly Hills Pediatric Dentistry

  • Pediatric Dentistry
  • Beverly Hills, CA
  • NPI 1275335226
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861412710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "310-271-5231",
            "fax_number": "310-271-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR",
            "address_2": "SUITE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "310-271-5231",
            "fax_number": "310-271-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENBERG",
        "first_name": "MARK",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "30340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Stone Care Solutions, LLC (Acti-Kare Responsive In-Home Care)
• Golden Surgery Center
• Golden Triangle Surgery Center LLC
• David B Golden, M.D.
• Peter Michael Golden, M.D.
• Jonathan Joseph Goldfinger, M.D., M.P.H
• Marni Goldman, LCSW
• Mia Ashforth Goldman, MFT
• Nancy Sue Goldman, MD
• James S Goldrich, M.D.

• Pediatric Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Pediatric Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.