DR. BARRY S GOLDENBERG (NPI# 1912272212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912272212 |
Entity Type | Individual |
Full Name | DR. BARRY S GOLDENBERG |
Credential | D.M.D., M.S., P.C. |
Practice Address |
777 S New Ballas Rd Suite 213-e Saint Louis MO 63141-8705 |
Practice Telephone | 3149977972 |
Practice Fax Number | 3149977978 |
Mailing Telephone | 3149977972 |
Mailing Fax Number | 3149977978 |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
013811 | MO | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679714190 | Barry Goldenberg | Dentist | 24120 Northern Blvd, L-5, Douglaston, NY 11362-1074 | 2009-03-12 |
1104934637 | Barry Goldenberg | Plastic Surgery | 200 East End Ave, New York, NY 10128 | 2006-08-25 |
1073635975 | Barry Goldenberg | Psychologist | 201 S Livingston Ave, Livingston, NJ 07039-4043 | 2007-04-04 |
Street Address |
777 S NEW BALLAS RD SUITE 213-E |
City | SAINT LOUIS |
State | MO |
Zip Code | 63141-8705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265436711 | Robert Daniel Craig | Otolaryngology | 777 S New Ballas Rd, Ste 320e, Saint Louis, MO 63141-8789 | 2005-06-10 |
1124597844 | Hailey B Cronin | Pharmacist | 777 S New Ballas Rd, Saint Louis, MO 63141-8705 | 2018-11-26 |
1326588856 | Options In Pyhsical Therapy | Clinic/Center | 777 S New Ballas Rd, Suite 218e, Saint Louis, MO 63141-8705 | 2017-03-02 |
1730638958 | West County Pharmacy LLC | Pharmacy | 777 S New Ballas Rd, Saint Louis, MO 63141-8705 | 2016-09-29 |
1205290749 | Advanced Family Medicine, LLC | Nurse Practitioner | 777 S New Ballas Rd, Ste 100e, Saint Louis, MO 63141-8705 | 2016-04-11 |
1174984918 | Jessica Loverude | Speech-Language Pathologist | 777 S New Ballas Rd, Suite 328w, Saint Louis, MO 63141-8705 | 2016-03-07 |
1548637853 | Chilcutt & Steuterman, Dds, LLC | Clinic/Center | 777 S New Ballas Rd, Ste. 310 West, Saint Louis, MO 63141-8705 | 2015-08-24 |
1922425784 | Savita S Bhat Md LLC | Psychologist | 777 S New Ballas Rd, Suite 217e, Saint Louis, MO 63141-8705 | 2014-03-18 |
1467874982 | N & W Associates Inc | Physical Medicine & Rehabilitation | 777 S New Ballas Rd, Suite 302w, Saint Louis, MO 63141-8705 | 2014-01-17 |
1962767665 | Charles William Pelton | Optometrist | 777 S New Ballas Rd, Suite 218e, Saint Louis, MO 63141-8705 | 2012-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
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Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770011926 | Azadeh Afshari, Dds LLC | Dentist | 517 S Euclid Ave Bldg Ste 819, Saint Louis, MO 63110-1007 | 2017-06-01 |
1093738858 | Richard Blustein | Dentist | 711 N New Ballas Rd, Saint Louis, MO 63141-6715 | 2006-07-25 |
1205146636 | Mohamed Elsafi, Dds LLC | Dentist | 517 S Euclid Ave, Mcmillan Building Suite 819, Saint Louis, MO 63110-1007 | 2010-10-19 |
1164565958 | Joseph Frederick Shea | Dentist | 3555 Sunset Office Dr, Suite 200, Saint Louis, MO 63127-1015 | 2007-02-14 |
1750447165 | Barry S. Goldenberg, D.m.d., M.s., P.C. | Dentist | 777 S New Ballas Rd, Suite 213-e, Saint Louis, MO 63141-8705 | 2006-12-29 |
1508951666 | Thomas M Matthes | Dentist | 11710 Old Ballas Rd, Suite 200, Saint Louis, MO 63141-7076 | 2006-10-04 |
1871517441 | Robert E Willis | Dentist | 777 S New Ballas Rd, Suite 318 W, Saint Louis, MO 63141-8705 | 2006-07-27 |
1528023827 | John Joseph Wahle | Dentist | 915 N Grand Blvd, Va Medical Center, Dental Service, 11f/8, Saint Louis, MO 63106-1621 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629605019 | Bhavika V Thakkar | Dentist | 650 E 25th St Rm 277, Kansas City, MO 64108-2716 | 2020-03-25 |
1285159004 | C. Alan Mcquigg Dds Ms PC | Dentist | 620 W 32nd St Ste C, Joplin, MO 64804-2528 | 2017-08-14 |
1487958112 | Carol Kim | Dentist | 3842 S Glenstone Ave, Springfield, MO 65804-4418 | 2011-01-11 |
1972750909 | Kevin D Wallace | Dentist | 1200 E Woodhurst Dr Ste A200, Springfield, MO 65804-3745 | 2008-08-21 |
1235322108 | Glen H Petteway | Dentist | 1200 E Woodhurst, Ste T300, Springfield, MO 65804-3784 | 2007-08-23 |
1881899466 | Warren Henry Speiser | Dentist | 885 St Francois Street, Florissant, MO 63031-4923 | 2007-06-15 |
1134282023 | Kristine Kae Schrock | Dentist | 3906 Sherman Ave, Saint Joseph, MO 64506-3648 | 2006-12-19 |
1487740189 | Kyle Donahue | Dentist | 2020 Bluestone Dr, Saint Charles, MO 63303-5974 | 2006-10-04 |
1265479885 | Donna N Deines | Dentist | 203 E 63rd St, Kansas City, MO 64113-2224 | 2006-06-01 |
1669443990 | Timothy Scott Bartlett | Dentist | 1497 N Business Route 5, Camdenton, MO 65020-2636 | 2006-01-26 |
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City | SAINT LOUIS |
Zip Code | 63141 |
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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.