Andrianette Nicole Gordon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059741 Issued in NY

Practice address

92 Grey St
East Aurora, NY 14052-2129

Phone

(716) 652-0190

NPI assigned

Apr 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Andrianette Nicole Skrypek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Andrianette Gordon DDS PLLC

  • Dental Clinic/Center
  • Williamsville, NY
  • NPI 1396601076
  NPD Authorized official

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1548795545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 GREY ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522129",
            "telephone_number": "716-652-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 GREY ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522129",
            "telephone_number": "716-652-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Alberta Dr",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142261855",
            "country_code": "US",
            "telephone_number": "716-835-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ANDRIANETTE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059741",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRIANETTE",
            "last_name": "SKRYPEK",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George T. Danakas, M.D., P.C.
• Joseph Michael Geraci
• Joseph T Geraci Jr., RPH
• Angela Gerth, P.T.
• Laurie Elaine Goodwill, M.A. CCC-SLP
• Samantha Gorski
• Cheryl Ann Grace, TSHH
• Jillian Joan Green, M.A., CCC-SLP
• Lakeisha Grenade-Shoemaker, CLC
• Anju Gupta, MD

• General Practice Dentistry in East Aurora, NY
• Providers in East Aurora, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.