PD Gordon Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8870 Issued in FL

Legal business name

PD GORDON INC

Practice address

1986 31St Ave Ste 110
Vero Beach, FL 32960-6627

Phone

(772) 567-3334

NPI assigned

Dec 6, 2010

Last updated

Dec 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Dawn Gordon, D.C.NPI 1316059108

Title

Owner

Phone

(772) 567-3334

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Dawn Gordon, DC

  • Chiropractor
  • Vero Beach, FL
  • NPI 1316059108
  Medicare reassignment NPD Authorized official
• Zachary Geisz, DC

  • Chiropractor
  • Vero Beach, FL
  • NPI 1356221618
  Medicare reassignment NPD (past)
• Thad Barry Gordon, DC

  • Chiropractor
  • Vero Beach, FL
  • NPI 1942316112
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1336442821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1986 31ST AVE STE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606627",
            "telephone_number": "772-567-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1986 31ST AVE STE 110",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606627",
            "telephone_number": "772-567-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PD GORDON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-567-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2873142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "711419",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulette P Brown (Aboutcare)
• Sharon S Paxton, LCSW
• Justine Marie Payne
• Victoria Payton, MS, RD, LD
• PBPM Inc (Physician Billing and Practice Management)
• Lynne Pearl, CAP, ICADC
• Mariya Pecheny, DMD
• Richard A Pechter
• John Patrick Peden Jr., MD
• Pediatrix Medical Group of Florida Inc

• Chiropractor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.