Organization Active NPI

Gordon & Scheller, DDS, PLLC

  • General Practice Dentistry
  • Hickory, NC
National Provider Identifier
1205582624
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GORDON & SCHELLER, DDS, PLLC
Practice address
2708 NC-127 South
Hickory, NC 28602
Phone
(828) 672-1000
Fax
(878) 672-1030
NPI assigned
Feb 24, 2022
Organization subpart
Yes
Parent organization
GORDON & SCHELLER, DDS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Michael Gordon Jr., DDS
Title
President/Owner
Phone
(704) 277-2531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2708 NC-127 South
Hickory, NC 28602

Mailing address

2708 NC-127 South
Hickory, NC 28602
Phone (828) 672-1000

National Provider Directory

National Provider Directory
Tax ID family
Gordon Scheller DDS PLLC2 organizations share this tax ID, including this one
Part of
Gordon Scheller DDS PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1205582624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 NC-127 SOUTH",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-672-1000",
            "fax_number": "878-672-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 NC-127 SOUTH",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-672-1000",
            "fax_number": "878-672-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON & SCHELLER, DDS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GORDON & SCHELLER, DDS, PLLC",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "704-277-2531",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.