Active NPI
Robert Goldman, DDS
- Dentist
- West Palm Beach, FL
National Provider Identifier
1871766550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0013972
- Practice address
- 4512 N Flagler Dr
Suite 301
West Palm Beach, FL 33407-3839 - Phone
- (561) 863-9894
- NPI assigned
- Apr 2, 2008
- Last updated
- Jun 18, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0013972 | FL | Primary |
Addresses
Primary practice location
4512 N Flagler Dr
Suite 301
West Palm Beach, FL 33407-3839
Mailing address
306 Resort LN
Palm Beach Gardens, FL 33418-7050
Phone (561) 622-0010
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 |
|---|---|---|---|
| 0013972 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1871766550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 RESORT LN",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334187050",
"telephone_number": "561-622-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 N FLAGLER DR",
"address_2": "SUITE 301",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334073839",
"telephone_number": "561-863-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "ROBERT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-02",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "0013972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
- Golden Care Facility II LLC
- Golden Care Facility LLC
- Golden Happiness Corp
- Golden Horizon Respite Care LLC
- Sue S Goldfinger, MD
- Richard S Goldmann, M.D.
- Goldstein Rehabilitation Center, Inc. (Injury Clinic & Rehab Center)
- Andee Goldstein, DMD, MS
- Daniel Frederick Goldstein, PT, OCS, SCS, ATC
- Gabriela Goldstein, M.D., P.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.