Marcia A. Gordon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9619 Issued in MD

Practice address

7939 Honeygo Blvd
Suite 214
Nottingham, MD 21236-4931

Phone

(410) 933-1099

Fax

(410) 933-6616

NPI assigned

May 20, 2007

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Hill Southern Dental of Maryland PPO PC

  • Dentist
  • Nottingham, MD
  • NPI 1831995794
  NPD (past)
• John Kelmenson,DDS,LLC

  • General Practice Dentistry
  • Nottingham, MD
  • NPI 1447469929
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073721163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD",
            "address_2": "SUITE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364931",
            "telephone_number": "410-933-1099",
            "fax_number": "410-933-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 HONEYGO BLVD",
            "address_2": "SUITE 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364931",
            "telephone_number": "410-933-1099",
            "fax_number": "410-933-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "MARCIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TID",
            "identifier": "52-2287990",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric J. Goode, PHYSICAL THERAPIST
• Haley Goodman, LCPC
• Goodness & Paradise Inc
• Leeann Goodson, CRNP-PMH
• Bria Michele Goodwin, LCSW-C
• Elizabeth Kathlene Gousha, LMT
• Grace Healing Wellness Center
• Gracia Services LL
• Cornelius Green
• Kimberly Green, CEO, DO,

• General Practice Dentistry in Nottingham, MD
• Providers in Nottingham, MD by specialty
• General Practice Dentistry in Maryland

• 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.