DR. KENNETH DAVID GOLDBERG (NPI# 1366592099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366592099 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DAVID GOLDBERG |
| Credential | DDS |
| Practice Address |
198 Main Street Kingston MA 02364-1928 |
| Practice Telephone | 7815853497 |
| Mailing Telephone | 7815853497 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11765 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992924575 | Kenneth Lester Goldberg | Dentist | 541 Anderson Ave, Cliffside Park, NJ 07010-1722 | 2007-04-24 |
| 1356465793 | Kenneth W Goldberg | Internal Medicine | 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 | 2007-03-19 |
| 1598867616 | Kenneth Allen Goldberg | Urology | 541 W Main St Ste 150, Lewisville, TX 75057-3666 | 2006-09-01 |
| 1336104512 | Kenneth J Goldberg | Psychologist | 600 E Baseline Rd, Suite C-1, Tempe, AZ 85283-1247 | 2006-04-19 |
| 1770992547 | Kenneth Goldberg | Psychologist | 215 Highland Ave, Suite C, Haddon Township, NJ 08108-2634 | 2014-08-06 |
| 1457669673 | Kenneth Charles Goldberg | Preventive Medicine | 407 Ne 12th Ave, Ste 200, Portland, OR 97232 | 2010-09-22 |
| 1437200680 | Kenneth B Goldberg | Clinical Neuropsychologist | 1650 Huntingdon Pike, Meadowbrook, PA 19046-8004 | 2007-01-15 |
| 1598856585 | Kenneth Charles Goldberg | Internal Medicine | 508 Fulton St, Box 11c, Durham, NC 27705-3875 | 2006-09-27 |
| 1265451603 | Kenneth N Goldberg | Radiology | 2650 Ridge Ave, Department of Radiology, G507, Evanston, IL 60201-1718 | 2006-07-18 |
| 1326036120 | Kenneth M Goldberg | Dentist | 94 Brick Rd, West Jersey Medical Plaza Suite 100, Marlton, NJ 08053-2179 | 2005-10-06 |
| Street Address |
198 MAIN STREET |
| City | KINGSTON |
| State | MA |
| Zip Code | 02364-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750667259 | Tracy Lyn Allen | Registered Nurse | 189 Summer Street, Minute Clinic (inside Cvs), Kingston, MA 02364 | 2011-10-27 |
| 1023248788 | David Dilley Robert Dilley | Behavioral Analyst | 25 Deer Run Rd, Kingston, MA 02364 | 2009-07-15 |
| 1710024963 | Carrie Sue Hansen | Nurse Practitioner | 345 Court St. Suite 202, Plymouth Dermatology, Plymouth, MA 02364 | 2007-01-30 |
| 1588172860 | Maureen Whitaker | Nurse Practitioner | 189 Summer St, Kingston, MA 02364 | 2018-01-20 |
| 1811227366 | Terry Marie Mccann | Physical Therapist | 17 Chipman Way, Kingston, MA 02364 | 2010-01-06 |
| 1295931483 | Judith A Barry | Physical Therapy Assistant | 17 Chipman Way, Kingston, MA 02364 | 2007-06-25 |
| 1679634992 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 101 Independence Mall Way, Kingston, MA 02364 | 2006-12-12 |
| 1487128773 | Gina Girouard | Acupuncturist | 301 Pembroke St, Kingston, MA 02364-1011 | 2019-01-19 |
| 1326687351 | Acutherapy for Healing Inc. | Acupuncturist | 301 Pembroke St, Kingston, MA 02364-1011 | 2019-12-20 |
| 1669838561 | Sargent Child and Family Services Corp | Counselor | 2 Woodland Ave, Kingston, MA 02364-1030 | 2016-01-07 |
| Find all providers in zip 02364 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1164041935 | Paige Backenstose | Dentist | 139 Pine St Ste 210, Kingston, NY 12401-4901 | 2020-04-13 |
| 1457994568 | Stephen Brand | Dentist | 401 Market St Ste 102, Kingston, PA 18704-5417 | 2019-10-21 |
| 1942657291 | Dr Lily Zhang, Dmd | Dentist | 150 Hurley Ave, Kingston, NY 12401-2812 | 2016-05-17 |
| 1346677630 | Sean M Couch Dds Ps | Dentist | 25985 Barber Cut Off Rd Ne, Suite B2, Kingston, WA 98346-9596 | 2013-10-01 |
| 1942476254 | Andrew L. Lee | Dentist | 1159 Ulster Ave, Aspen Dental, Kingston, NY 12401-1513 | 2008-05-06 |
| 1700073921 | Bharat C Patel | Dentist | 76 Maiden Ln, Kingston, NY 12401-4508 | 2007-10-02 |
| 1699971655 | Vincent D Gorman | Dentist | 1105 Locust St, Kingston, NY 12401-1038 | 2007-06-26 |
| 1447478474 | Daniel J Thacker | Dentist | 26114 Illinois Avenue, Suite A, Kingston, WA 98346-0149 | 2007-04-23 |
| 1356463582 | Sikander Hayat Mirza | Dentist | 622 Broad Way, Kingston, NY 12402-2557 | 2007-04-06 |
| Find all providers in KINGSTON | ||||
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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.