Active NPI
Lisa Jane Gordon, D.C.
- Chiropractor
- Columbia, MD
National Provider Identifier
1063504041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01372
- Practice address
- 5053 Durham Rd W
Columbia, MD 21044-1449 - Phone
- (410) 733-5231
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01372 | MD | Primary |
Addresses
Primary practice location
5053 Durham Rd W
Columbia, MD 21044-1449
Mailing address
5053 Durham Rd W
Columbia, MD 21044-1449
Phone (410) 733-5231
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1063504041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5053 DURHAM RD W",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210441449",
"telephone_number": "410-733-5231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5053 DURHAM RD W",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210441449",
"telephone_number": "410-733-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "LISA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "01372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.