DR. DAVID GOLDBERG (NPI# 1053405886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053405886 |
| Entity Type | Individual |
| Full Name | DR. DAVID GOLDBERG |
| Credential | DMD |
| Practice Address |
879 Main St Waltham MA 02451-7414 |
| Practice Telephone | 7818993700 |
| Mailing Telephone | 7818993700 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
18435 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316268097 | David Michael Goldberg | Internal Medicine | 800 Spruce St., 1 Pine West, Philadelphia, PA 19107 | 2010-06-17 |
| 1891987806 | David S Goldberg | Internal Medicine | University of Miami, Division of Hepatology, 1120 Nw 14th Street, C240, Suite. 1112, Miami, FL 33133 | 2007-08-14 |
| 1326196791 | David Goldberg | Dentist | 11358 Okeechobee Blvd, Suite 1, Royal Palm Beach, FL 33411-8723 | 2007-01-08 |
| 1962567966 | David Stuart Goldberg | Plastic Surgery | 24591 Silver Cloud Ct, Suite 150, Monterey, CA 93940-6549 | 2006-12-27 |
| 1043381262 | David Brett Goldberg | Internal Medicine | 6010 A1a S, St Augustine, FL 32080-7018 | 2006-11-10 |
| 1942212428 | David Mitchell Goldberg | Optometrist | 6301 Little River Tpke Ste 110, Alexandria, VA 22312-5044 | 2006-08-12 |
| 1528001583 | David J Goldberg | Dermatology | 20 Prospect Ave Ste 702, Hackensack, NJ 07601-1974 | 2006-06-14 |
| 1164463337 | David Goldberg | Psychologist | 400 Office Park Dr Ste 120, Mountain Brk, AL 35223-3409 | 2006-06-09 |
| 1407836356 | David S. Goldberg | Emergency Medicine | 5115 Maryland Way, Brentwood, TN 37027-7512 | 2006-01-18 |
| 1053397810 | David Goldberg | Internal Medicine | Lahey Cardiology, Beverly, 75 Herrick Street Suite 206, Beverly, MA 01915-5900 | 2005-12-22 |
| Street Address |
879 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-7414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710532130 | Le Zhang | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2019-08-02 |
| 1760904106 | James Leung | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2017-07-07 |
| 1558631432 | Gentle Dental Waltham | Clinic/Center | 879 Main St, Waltham, MA 02451-7414 | 2012-01-09 |
| 1649590852 | Eric Thomas Anthony | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2010-06-10 |
| 1922206523 | Kirill Klimashov | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2007-07-05 |
| 1982739371 | Fereidoun Agha-razi | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2007-02-23 |
| 1063573988 | Donald C Richard Jr. | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-12-13 |
| 1437222486 | Khai Lim | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-11-16 |
| 1902994155 | Robert Girschek | Dentist | 879 Main St, Waltham, MA 02451-7414 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124199500 | Constant Crohin | Dentist | 212 Charles St, Waltham, MA 02453-4206 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1437700218 | Mansour Alasiri | Dentist | 650 Albany St Ste 341, Boston, MA 02118-2518 | 2019-09-24 |
| 1508417338 | Bushra Aljahdali | Dentist | 650 Albany St Fl 3, Boston, MA 02118-2518 | 2019-09-23 |
| 1164077152 | North Shore Smiles LLC | Dentist | 293 Humphrey Str., Swampscott, MA 01907 | 2019-08-06 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1043863533 | Ricardo Lazaro Pascual | Dentist | 1 Kneeland St Dept, Boston, MA 02111-1527 | 2019-07-23 |
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1396209961 | Gabriel Boustani Dmd PC | Dentist | 822 Boylston St Ste 200, Chestnut Hill, MA 02467-2504 | 2019-01-28 |
| 1568935153 | Periodontology Associates of Concord, Pllc | Dentist | 290 Baker Ave Ste 3, Concord, MA 01742-2189 | 2019-01-07 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.