Active NPI
Robert A. Goldberg, M.D.
- Orthopaedic Surgery Physician
- Dallas, TX
National Provider Identifier
1861455081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E0469
- Practice address
- 10611 Garland Rd
Suite 110
Dallas, TX 75218-2666 - Phone
- (214) 660-0505
- Fax
- (214) 660-4484
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E0469 | TX | Primary |
Addresses
Primary practice location
10611 Garland Rd
Suite 110
Dallas, TX 75218-2666
Mailing address
10611 Garland Rd
Suite 110
Dallas, TX 75218-2666
Phone (214) 660-0505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8S4861 | Other | TX | BCBS |
| 045815002 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0469 | TX | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1861455081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10611 GARLAND RD",
"address_2": "SUITE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752182666",
"telephone_number": "214-660-0505",
"fax_number": "214-660-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10611 GARLAND RD",
"address_2": "SUITE 110",
"city": "DALLAS",
"state": "TX",
"postal_code": "752182666",
"telephone_number": "214-660-0505",
"fax_number": "214-660-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ROBERT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E0469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8S4861",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045815002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Kimberly Guyer Gold, MS CCC-SLP
- Goldberg Psychological Services, PLLC
- Jordan Hunter Goldberg, M.D.
- Katie Goldberg, MCN, RD, LD
- Marshal D Goldberg, DDS
- Tina Alison Goldberg, LCSW
- Goldcrest Medical Equipment Services, Inc
- Golden Alignment
- Golden Edge Health Care Services Inc
- Golden Gate Adult Rehabilitation Ministry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.