Paul J Gordon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1288 Issued in LA

Practice address

69150 Highway 190 Service Rd
Covington, LA 70433-5140

Phone

(985) 778-2036

Fax

(844) 674-7170

NPI assigned

Feb 14, 2007

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Medical Center of Uptown

  • Chiropractor
  • New Orleans, LA
  • NPI 1982804217
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1013050749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69150 HIGHWAY 190 SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335140",
            "telephone_number": "985-778-2036",
            "fax_number": "844-674-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69150 HIGHWAY 190 SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335140",
            "telephone_number": "985-778-2036",
            "fax_number": "844-674-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Gonzalez Gannon
• Amy Phillips Gonzalez, PA
• Jessica Gonzalez, MD
• Kevin Goodson, MD
• Valerie L Gordon-Garofalo, PHD, LCSW
• Kelly C Grady, NP
• Grae Holdings LLC (Amada Senior Care New Orleans)
• Anastasia K Graffagnini, MD
• Allison Marie Graffeo
• Celeste A Graham

• Chiropractor in Covington, LA
• Providers in Covington, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.