Gordon Orthodontics, Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2421 Issued in RI

Legal business name

GORDON ORTHODONTICS, INC.

Practice address

840 Tiogue Ave
Coventry, RI 02816-5914

Phone

(401) 828-1171

Fax

(401) 828-4704

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William M Gordon, DMD

Title

Orthodontist

Phone

(401) 828-1171

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1104073246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165914",
            "telephone_number": "401-828-1171",
            "fax_number": "401-828-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 TIOGUE AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165914",
            "telephone_number": "401-828-1171",
            "fax_number": "401-828-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "401-828-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "RI",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DENTAL OF RHODE ISLAND",
            "identifier": "8607-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "WG00555",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Cookie Gilchrist, RN, BSN, CDOE
• Karen Gilmartin, RPH
• James E Ginda, MA, RRT, AE-C, FAARC
• Jeffrey Glidden
• Richard J Goccia, M.D.
• Christopher Michael Gordon
• William Michael Gordon, DMD
• Donna M Gormley
• GPS Physician Group of Rhode Island PC
• Erin Elizabeth Grady

• Orthodontics and Dentofacial Orthopedics Dentistry in Coventry, RI
• Providers in Coventry, RI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.