JASON MICHAEL GOLDBERG (NPI# 1447600119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447600119 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL GOLDBERG |
| Credential | D.D.S. |
| Practice Address |
8815 Christenbury Pkwy Ste 40 Concord NC 28027-0261 |
| Mailing Address |
179 King High Dr. Thornhill ONTARIO L4J 3N3 CA |
| Practice Telephone | 7042640253 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11912 | NC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104138403 | Jason Lee Goldberg | Internal Medicine | 120 Radnor Rd Ste 100, State College, PA 16801 | 2010-07-02 |
| 1336747021 | Jason Goldberg | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-14 |
| 1093161655 | Jason Goldberg | Ophthalmology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2016-05-12 |
| 1194161646 | Jason Goldberg | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2013-05-10 |
| 1255692067 | Jason Asher Goldberg | Pediatrics | 333 N Texas Ave, Suite 4300, Webster, TX 77598-4966 | 2012-06-07 |
| 1518261171 | Jason Frederick Goldberg | Pediatrics | 51 N Dunlap St Fl 2, Memphis, TN 38105 | 2010-12-22 |
| 1427212851 | Jason Matthew Goldberg | Social Worker | 4401 East West Highway, Suite 207, Bethesda, MD 20814 | 2008-07-15 |
| 1073731790 | Jason Goldberg | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2007-04-20 |
| Street Address |
8815 CHRISTENBURY PKWY STE 40 |
| City | CONCORD |
| State | NC |
| Zip Code | 28027-0261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941607 | Christopher Michael Clark | Dentist | 8815 Christenbury Pkwy Ste 40, Concord, NC 28027-0261 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023652252 | Medcare Transport of Nc | Non-emergency Medical Transport (VAN) | 7039 Northwinds Dr Nw, Unit C, Concord, NC 28027 | 2019-10-31 |
| 1538718770 | Carolyn Ann Broadnax | Technician | 3524 Cedar Springs Dr, Concord, NC 28027 | 2019-09-10 |
| 1447806575 | Claire-ann E Papp | Dentist | 8815 Christenbury Parkway, Suite 40, Concord, NC 28027 | 2019-08-14 |
| 1578120218 | Philip Osborn | Dentist | 5408 Nc-49, Harrisburg, NC 28027 | 2019-05-28 |
| 1639648306 | Kristen Morris Spell | Counselor | 195 Lower Cape Dr Sw Apt 107, Concord, NC 28027 | 2018-11-25 |
| 1568959625 | Laurie Ford | Counselor | 705 Samuel Adams Cir Sw, Concord, NC 28027 | 2018-04-15 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1386192938 | Brundasudha Satti IIi | Physical Therapist | 379 Sutoforest Dr Nw, Concord, NC 28027 | 2016-09-12 |
| 1467809616 | Kathryn Teal Watts | Dentist | 5305345 Vining St Nw, #201, Concord, NC 28027 | 2016-05-18 |
| 1720443849 | Denette Carte | Health Educator | 9712 Ravenscroft Lane Nw, Concord, NC 28027 | 2015-12-16 |
| Find all providers in zip 28027 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225292790 | Pd Sharma Dmd Pa | Dentist | 5325 Vining St Nw, Suite 203, Concord, NC 28027-2942 | 2008-07-15 |
| 1417123456 | Daniel R Cook | Dentist | 130 Lake Concord Rd, Concord, NC 28025 | 2008-04-30 |
| 1225101280 | Pritchard Yee Kang Lam | Dentist | 1925 Parkside Dr, Concord, CA 94519-2525 | 2006-11-16 |
| 1588695316 | Central New Hampshire Oral Surgery, Pa | Dentist | 187 N State St, Concord, NH 03301-5020 | 2006-07-06 |
| 1114970241 | Richard J. Rosato | Dentist | 6 Loudon Rd, Suite 204, Concord, NH 03301-5321 | 2006-05-18 |
| 1245204064 | Robert J Galup | Dentist | 130 Lake Concord Rd Ne, Concord, NC 28025-1918 | 2006-02-16 |
| 1205825585 | Allen Robert Cail | Dentist | 801 Main St, Concord, MA 01742-3313 | 2005-10-19 |
| 1124559588 | Trinity Family Dentistry | Dentist | 6173 Bayfield Pkwy, Concord, NC 28027-7486 | 2017-03-27 |
| 1619245214 | Dick M Hom Dds & Pritchard Y Lam Dds Partnership | Dentist | 1925 Parkside Dr, Concord, CA 94519-2525 | 2011-12-09 |
| 1144496464 | Patrick Berry Vaughan | Dentist | 194 Pleasant St, Suite 13, Concord, NH 03301-2952 | 2008-05-06 |
| Find all providers in CONCORD | ||||
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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.