Lauren Gordon, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN015835 Issued in GA

Practice address

5215 Windward Pkwy Ste D
Alpharetta, GA 30004-3887

Phone

(770) 222-2322

Fax

(404) 496-7010

NPI assigned

Jul 2, 2019

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.

• Pda Ortho Specialty of Georgia, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Acworth, GA
  • NPI 1982169173
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1205498086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680",
            "telephone_number": "724-698-2500",
            "fax_number": "844-399-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 WINDWARD PKWY STE D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043887",
            "telephone_number": "770-222-2322",
            "fax_number": "404-496-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "LAUREN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN015835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN015835",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Gooden, CLC
• Dale R. Goodman
• Mary Ashley Goodman, DC
• Elizabeth Goodnight, O.D.
• Katie H Goodwin
• Melissa A Gordon
• Stephanie Gordon
• Rebecca Gorman, SERVICE COORDINATOR
• Jillian Goro, NP
• Alina Gotovskaya, DC

• Orthodontics and Dentofacial Orthopedics Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.