NPIMap

Organization Active NPI

Gordon R Isbell, III, DMD, PA

  • Dentist
  • Gadsden, AL
National Provider Identifier
1629480066
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3678 Issued in AL
Legal business name
GORDON R ISBELL, III, DMD, PA
Practice address
241 S 4TH St
Gadsden, AL 35901-4213
Phone
(256) 547-3589
Fax
(256) 543-2929
NPI assigned
May 20, 2014
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Dr. Gordon Roswell Isbell III, DMD, PANPI 1174934772
Title
President
Phone
(256) 547-3589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3678 AL Primary

Addresses

Primary practice location

241 S 4TH St
Gadsden, AL 35901-4213

Mailing address

241 S 4TH St
Gadsden, AL 35901-4213
Phone (256) 547-3589

Other identifiers 2

IdentifierTypeStateIssuer
1952667230OtherALNPPES
1891748281OtherALNPPES

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1629480066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014213",
            "telephone_number": "256-547-3589",
            "fax_number": "256-543-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014213",
            "telephone_number": "256-547-3589",
            "fax_number": "256-543-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON R ISBELL, III, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "ISBELL",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "ROSWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-547-3589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD, PA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1952667230",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1891748281",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.