Stephen Jerome Gordon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019016354 Issued in IL

Practice address

8 South Michigan Avenue
Suite 1800
Chicago, IL 60603-3357

Phone

(312) 750-9000

Fax

(312) 750-9100

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Nanditha Ranganathan

  • Dental Clinic/Center
  • Chicago, IL
  • NPI 1073240347
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1114954146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTH MICHIGAN AVENUE",
            "address_2": "SUITE 1800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033357",
            "telephone_number": "312-750-9000",
            "fax_number": "312-750-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SOUTH MICHIGAN AVENUE",
            "address_2": "SUITE 1800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033357",
            "telephone_number": "312-750-9000",
            "fax_number": "312-750-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEPHEN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019016354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Gordon, LCSW
• Samantha Claire Gordon, MD
• Sara C Gordon, DDS
• Shannon Gordon, MD
• Silvana Gordon, PT, DPT
• Teresa K Gordon III
• Terrez Gordon, MSW
• Tory Gordon
• Yvonne Ilyse Cash Gordon, M. A., CCC-SLP
• Zanu Gordon, S.S.P

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.