Active NPI
Gordon Orthodontics, LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ambler, PA
National Provider Identifier
1700494499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Mohan Gordon, DMD, MS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Ambler, PA
- NPI 1023449352
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.