Organization Active NPI

Gordon Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ambler, PA
National Provider Identifier
1700494499
Registry record updated Jul 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GORDON ORTHODONTICS, LLC
Practice address
545 N Bethlehem Pike Ste 205
Ambler, PA 19002-2557
Phone
(267) 360-0777
NPI assigned
Jul 19, 2020
Last updated
Jul 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2020

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

Authorized official

Name
Colleen Mohan Gordon, DMD, MSNPI 1023449352
Title
Orthodontist
Phone
(267) 360-0777

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

545 N Bethlehem Pike Ste 205
Ambler, PA 19002-2557

Mailing address

37 Isabelle CT
Marlton, NJ 08053-5623

National Provider Directory

National Provider Directory

Locations

545 N Bethlehem Pike
Ste 205
Ambler, PA 19002
Phone (267) 360-0777

Practitioners & affiliated clinicians

Practitioners 1

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": "1595116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595116800000",
    "number": "1700494499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ISABELLE CT",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080535623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N BETHLEHEM PIKE STE 205",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022557",
            "telephone_number": "267-360-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-19",
        "last_updated": "2020-07-19",
        "certification_date": "2020-07-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "267-360-0777",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2020; 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.