Dustin Gordon, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4515 Issued in OK

Practice address

609 E Main St
Jenks, OK 74037-4138

Phone

(918) 299-1296

NPI assigned

Dec 7, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metabolic Centers for Excellence LLCGroup PAC ID 1557883162, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metabolic Centers for Excellence LLC

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1518772755
  Medicare reassignment Care Compare group NPD
• Gordon Chiropractic, PLLC

  • Chiropractor
  • Jenks, OK
  • NPI 1043919319
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1659082964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 W 91ST ST S",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740668422",
            "telephone_number": "918-691-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E MAIN ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740374138",
            "telephone_number": "918-299-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Gomendi, ND
• Anna Gomez, RN
• Alice Yiran Gong
• Christy Goodwin, PHARMD
• Gordon Chiropractic, PLLC
• Cindy Grady
• Paige Allyson Grant
• Greater Oklahoma Orthodontics PLLC
• Janna Greathouse, MS CCC SLP
• Kristian H Green

• Chiropractor in Jenks, OK
• Providers in Jenks, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.