Nicholas Barrington Gordon, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

16466 Issued in MD

Practice address

4710 Auth PL Ste 490
Camp Springs, MD 20746-4212

Phone

(301) 423-0264

Fax

(301) 423-2572

NPI assigned

Oct 1, 2012

Last updated

Jun 2, 2020By the provider in NPPES

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

Locations

Interoperability endpoints

• Direct secure messaging: ngordon980447@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oral Health Guardians, LLC

  dba Camp Springs Pediatric Dentistry

  • Pediatric Dentistry
  • Camp Springs, MD
  • NPI 1427719434
  NPD Authorized official
• Alan C. Gordon, DDS

  • General Practice Dentistry
  • Camp Springs, MD
  • NPI 1790254001
  NPD
• Berry Children Dental of Bowie

  • Dentist
  • Bowie, MD
  • NPI 1891186151

  Multi-Specialty

  NPD (past)
• El Shaddai Dental

  • General Practice Dentistry
  • Randolph, MA
  • NPI 1336266980
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1538410477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 AUTH PL STE 490",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464212",
            "telephone_number": "301-423-0264",
            "fax_number": "301-423-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 AUTH PL STE 490",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464212",
            "telephone_number": "301-423-0264",
            "fax_number": "301-423-2572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4449 Mitchellville Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207163169",
            "country_code": "US",
            "telephone_number": "301-383-0959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NICHOLAS",
        "middle_name": "BARRINGTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "16466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Franklin
• George S. Malouf, M.D., P.a. (Malouf Eye Center)
• Geroge S Malouf M.D., P.a. (Malouf Eye Center)
• Giant of Maryland LLC (Giant Pharmacy 123)
• Karen Renee Gilliam
• Brittany Lauren Grant, LGPC
• Adrienne Denise Graves
• Beverly D Gregory, PA-C
• Carolyn Marie Gustin, COTA/L
• Sara Hailu

• Pediatric Dentistry in Camp Springs, MD
• Providers in Camp Springs, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.