Harvey P. Gordon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 6379 Issued in FL

Practice address

1051 N 35TH Ave
Ste 202
Hollywood, FL 33021-5433

Phone

(954) 963-3535

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043233828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 N 35TH AVE",
            "address_2": "STE 202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215433",
            "telephone_number": "954-963-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 N 35TH AVE",
            "address_2": "STE 202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215433",
            "telephone_number": "954-963-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "HARVEY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Veda Goordeen
• Pramela Goordeen, ARNP
• Triana Gordillo, COTA
• Gordon and Ramirez Dentistry Partnership
• Chaya Raizel Gordon
• Karen L Gordon, D.M.D.
• Kimesha Sherrika Gordon, FNP-C
• Rosa Mary Gordon, MSW
• Yudit Gorgoy Caraballo
• Onika Gorkin, MFT

• General Practice Dentistry in Hollywood, FL
• Providers in Hollywood, FL by specialty
• General Practice Dentistry in Florida

• 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.

Verify at the official NPI Registry.