Richard L. Gore, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10403 Issued in TX

Practice address

4601 Buffalo Gap Rd Ste C4
Abilene, TX 79606-3363

Phone

(325) 692-2423

Fax

(325) 692-2076

NPI assigned

Sep 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Dental Care

  dba Greenridge Dental Care

  • Dental Clinic/Center
  • San Angelo, TX
  • NPI 1053025023
  NPD (past)
• Southwest Dental Care of Abilene, PLLC

  • General Practice Dentistry
  • Abilene, TX
  • NPI 1699915231
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609967819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 LYTLE PL",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796027424",
            "telephone_number": "325-676-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD STE C4",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063363",
            "telephone_number": "325-692-2423",
            "fax_number": "325-692-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA CONTRACT",
            "identifier": "619788",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James C Goodman, ACSM-EP
• Samantha Goodman, MD
• Melissa Goodrich
• Karson Lee Gopffarth, PA-C
• Kimberly Gordon, PMHNP
• Mandi Goretska, LMSW
• Katie Gorka
• Jennifer L Gorman, MS, RDN, LD
• Angela Alena Gorodkov, PA
• Andrea Beth Gorsline

• General Practice Dentistry in Abilene, TX
• Providers in Abilene, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.