Emmaleigh Gordon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61084945 Issued in WA

Practice address

7715 24TH Ave NW
Seattle, WA 98117-4412

Phone

(206) 789-2555

Fax

(206) 706-6286

NPI assigned

Oct 14, 2020

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Emmaleigh Gordon Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emmaleigh Gordon, DDS, PLLC

  dba Ballard Neighborhood Dentist

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1982389078
  NPD Authorized official
• Bradley J Bemis PS

  • Dentist
  • Bothell, WA
  • NPI 1750497848
  NPD (past)
• Nagatomo DDS PHD PLLC

  • General Practice Dentistry
  • Bothell, WA
  • NPI 1831047844
  NPD (past)

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1699373498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 24TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98117",
            "telephone_number": "206-789-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 24TH AVE NW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981174412",
            "telephone_number": "206-789-2555",
            "fax_number": "206-706-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "EMMALEIGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61084945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emmagordondds@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18323 98th Ave NE Ste 4",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980113358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drgordon@hyggelaserdentistry.com",
            "affiliation": "N",
            "endpointDescription": "Professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7715 24th Ave NW",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981174412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMMALEIGH",
            "last_name": "GORDON",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kari Lynn Gorder, M.D.
• Sandra Milena Gordillo Acosta, MSW, LICSW
• Juliet Elspeth Gordon-Mohammed, MS, CF-SLP
• Michael Gordon-Tarnowski, AA
• Amanda Mitzie Gordon, RN
• Hannah Gordon, ND, ARNP
• Irina Gordon, ND
• James Gordon, MD, FRCPC, PLLC
• James Huntley Gordon
• Judith R Gordon, PH.D.

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.