Active NPI
James Gregory Gordon, DDS
- Dentist
- Pikesville, MD
National Provider Identifier
1003833518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6044
- Practice address
- 3635 Old Court Road
Suite 505
Pikesville, MD 21208 - Phone
- (410) 486-0550
- Fax
- (410) 486-1265
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6044 | MD | Primary |
Addresses
Primary practice location
3635 Old Court Road
Suite 505
Pikesville, MD 21208
Mailing address
PO Box 36
Upperco, MD 21155
Phone (410) 374-5161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6044 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003833518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36",
"city": "UPPERCO",
"state": "MD",
"postal_code": "21155",
"telephone_number": "410-374-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 OLD COURT ROAD",
"address_2": "SUITE 505",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "21208",
"telephone_number": "410-486-0550",
"fax_number": "410-486-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "JAMES",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "6044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.