Anita S. Gordon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9248 Issued in GA

Practice address

2814 Buford Hwy NE
Atlanta, GA 30329-2103

Phone

(404) 486-7661

Fax

(404) 486-7662

NPI assigned

Feb 7, 2007

Last updated

Oct 7, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Anita S. Godon DDS

  dba Gordon Family Dentistry

  • Dentist
  • Brookhaven, GA
  • NPI 1528435203
  NPD (past) Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1053451377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29411",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303590411",
            "telephone_number": "404-486-7661",
            "fax_number": "404-486-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 BUFORD HWY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292103",
            "telephone_number": "404-486-7661",
            "fax_number": "404-486-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANITA",
        "middle_name": "S.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000225299A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Joseph Gorday, THM LMFT
• Gordon Azar Internal Medicine and Cardiology
• Akil Jahi Gordon, MD
• Amanda Carol Gordon, CPHT
• Amari Gordon
• Bertha Lynn Gordon, M.D.
• Bridgette A.a. Gordon
• Camille Gordon
• Chanda Monee' Gordon, DDS
• Chanel Gordon, PA-C

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.