Active NPI
Dahlia K Gordon, MS, RD, LDN
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1063982221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005640
- 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, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L005640 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dahlia the Dietitian LLC | Dietitian, Registered | Current | 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.