Active NPI
Leoneed Gordon, DDS
- Dentist
- Palmdale, CA
National Provider Identifier
1013094135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3293601
- Practice address
- 2205 E Palmdale Blvd
Palmdale, CA 93550 - Phone
- (661) 273-1333
- Fax
- (661) 273-1687
- NPI assigned
- Nov 1, 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 | 3293601 | CA | Primary |
Addresses
Primary practice location
2205 E Palmdale Blvd
Palmdale, CA 93550
Mailing address
1745 West Avenue K, Suite C
Suite C
Lancaster, CA 93534
Phone (661) 723-5400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32936 | CA | MD | Clinical Psychologist |
| 3293601 | CA | MD | Dentist |
Organizations & group practices 2
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.
-
dba Hi-Desert Dental Center
- General Practice Dentistry
- Palmdale, CA
- NPI 1013134808
-
dba Hi Desert Dental Center
- General Practice Dentistry
- Lancaster, CA
- NPI 1942442777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1013094135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 WEST AVENUE K, SUITE C",
"address_2": "SUITE C",
"city": "LANCASTER",
"state": "CA",
"postal_code": "93534",
"telephone_number": "661-723-5400",
"fax_number": "661-723-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 E PALMDALE BLVD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "93550",
"telephone_number": "661-273-1333",
"fax_number": "661-273-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "LEONEED",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "3293601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.