Individual provider Active NPI

Toni-Anne T Gordon, DMD

  • Dentist
  • Orlando, FL
National Provider Identifier
1376077040
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21870 Issued in FL
Practice address
840 Mercy Dr
Orlando, FL 32808-7820
Phone
(407) 905-8827
Fax
(407) 660-1667
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN21870 FL Primary

Addresses

Primary practice location

840 Mercy Dr
Orlando, FL 32808-7820

Mailing address

11250 Point Sylvan Cir Apt H
Orlando, FL 32825-6054

Other names 1

  • Dr. Toni-Anne T Gordon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313000639 FL Order and Referring Only - DentistPractitioner - Dentist 4789924630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21870FLMDDentist

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tonianne.gordon@chcfl.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593820800000",
    "number": "1376077040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11250 POINT SYLVAN CIR APT H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MERCY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087820",
            "telephone_number": "407-905-8827",
            "fax_number": "407-660-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TONI-ANNE",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI-ANNE",
            "last_name": "GORDON",
            "middle_name": "T",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.