Organization Active NPI

Gordon, Dominic J

  • Adult Care Home Facility
  • Brandon, FL
National Provider Identifier
1700760790
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GORDON, DOMINIC J
Practice address
1319 N Taylor Rd
Brandon, FL 33510-2422
Phone
(813) 485-6844
NPI assigned
Aug 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Dominic J Gordon
Title
Administrator
Phone
(813) 284-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1319 N Taylor Rd
Brandon, FL 33510-2422

Mailing address

1319 N Taylor Rd
Brandon, FL 33510-2422
Phone (813) 284-4788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1700760790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 N TAYLOR RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102422",
            "telephone_number": "813-284-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 N TAYLOR RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335102422",
            "telephone_number": "813-485-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON, DOMINIC J",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-284-4788"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.