Active NPI
Taylor R. Gordon, DDS
- Dental Anesthesiology
- Pittsburgh, PA
National Provider Identifier
1548637192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- DS040604
- Practice address
- 3501 Terrace St
Pittsburgh, PA 15213-2523 - Phone
- (412) 648-8616
- NPI assigned
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | DS040604 | PA | Primary |
Addresses
Primary practice location
3501 Terrace St
Pittsburgh, PA 15213-2523
Mailing address
3501 Terrace St
Pittsburgh, PA 15213-2523
Phone (412) 648-8616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040604 | PA | MD | Dentist Anesthesiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494201600000",
"number": "1548637192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 TERRACE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132523",
"telephone_number": "412-648-8616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TERRACE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132523",
"telephone_number": "412-648-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "TAYLOR",
"middle_name": "R.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2017-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "PA",
"license": "DS040604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.