MR. KENNETH M GOLDBERG DMD
NPI 1326036120
Dentist - Oral and Maxillofacial Surgery in Santa Maria, CA

Q: What is Kenneth Goldberg's NPI number?

The NPI number for Kenneth Goldberg is 1326036120. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Q: What is Kenneth Goldberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Goldberg was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 06, 2005PECOS Enrolled

201 N COLLEGE DRIVE, SUITE 202, SANTA MARIA, CA 93454(805) 928-7611(805) 349-8551 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 30, 2021, Apr 20, 2021 (2 updates tracked since 2021).

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About Mr. Kenneth M Goldberg Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH M GOLDBERG DMD (NPI 1326036120) is an individual oral and maxillofacial surgery provider in Santa Maria, California, licensed in California (59459) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326036120

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameMR. KENNETH M GOLDBERGCredential: DMD

Location Address201 N COLLEGE DRIVE, SUITE 202Santa Maria, CA 93454

Mailing Address201 N College Drive, Suite 202Santa Maria, CA 93454 · (805) 928-7611 · Fax (805) 349-8551

Phone(805) 928-7611

Fax(805) 349-8551

Sole ProprietorNo

Enumeration DateOctober 6, 2005

Last NPPES UpdateJuly 30, 20212 updates tracked since enumeration

NPPES CertifiedJuly 30, 2021

✔ NPI 1326036120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in CA · 59459✔ Licensed in NJ · DI018568

Definition

An oral and maxillofacial surgery dentist specialized in 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.

201 N COLLEGE DRIVE, Santa Maria, CA 93454

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Other Identifiers 1

Medicaid7056508NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth M Goldberg Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Goldberg's NPI number?

The NPI number for Kenneth Goldberg is 1326036120. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Kenneth Goldberg located?

Kenneth Goldberg practices at 201 N College Drive Suite 202, Santa Maria, CA 93454. The listed phone number is (805) 928-7611.

What is Kenneth Goldberg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Kenneth Goldberg enrolled in Medicare?

Yes. Kenneth Goldberg is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Goldberg accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Kenneth Goldberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Goldberg was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.