Jonathan Greenburg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30452 Issued in CA

Practice address

5400 Balboa Blvd Ste 120
Encino, CA 91316-5200

Phone

(818) 205-1122

Fax

(818) 386-8963

NPI assigned

Nov 8, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Greenburg, DDS, PC

  • General Practice Dentistry
  • Encino, CA
  • NPI 1629580576
  NPD Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1952471880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24981 PALMILLA DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023053",
            "telephone_number": "818-205-1122",
            "fax_number": "818-386-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165200",
            "telephone_number": "818-205-1122",
            "fax_number": "818-386-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBURG",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry H. Green, MD
• Suzanne H. Green, PHD., MFT
• Noam Moshe Greenbaum, DDS
• Jeanne Greenberg
• Greenburg, DDS, PC
• Megan Greenhalgh
• Greg Schwarz, Psy.D., and Associates, a Psychological Corporation
• Gregg Small Medical Corp
• Manuel Gregorio
• Rachel Julia Grief

• General Practice Dentistry in Encino, CA
• Providers in Encino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.