Individual provider Active NPI

Dahlia K Gordon, MS, RD, LDN

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1063982221
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005640 Issued in NC
Practice address
1026 Jay St # B216
Charlotte, NC 28208-4431
Phone
(828) 482-5553
Fax
(866) 359-7702
NPI assigned
Nov 30, 2018
Last updated
Jan 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L005640 NC Primary

Addresses

Primary practice location

1026 Jay St # B216
Charlotte, NC 28208-4431

Mailing address

1026 Jay St # B216
Charlotte, NC 28208-4431
Phone (828) 482-5553

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L005640NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dahlia the Dietitian LLC Dietitian, Registered CurrentSince Mar 1, 2024 Accepting new patients

Locations

1026 Jay St
#B216
Charlotte, NC 28208
Phone (828) 482-5553

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1063982221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 JAY ST # B216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084431",
            "telephone_number": "828-482-5553",
            "fax_number": "866-359-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 JAY ST # B216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084431",
            "telephone_number": "828-482-5553",
            "fax_number": "866-359-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAHLIA",
        "middle_name": "K",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.