Dr Donald R Gordon & Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS017817L Issued in PA

Legal business name

DR DONALD R GORDON & ASSOCIATES

Practice address

3 Pine Tree Dr
Broomall, PA 19008-2740

Phone

(484) 485-7156

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald R Gordon, D.D.S.NPI 1730138371

Title

President

Phone

(484) 485-7156

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald R Gordon, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Broomall, PA
  • NPI 1730138371
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1700905478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINE TREE DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082740",
            "telephone_number": "484-485-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PINE TREE DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082740",
            "telephone_number": "484-485-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DONALD R GORDON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-485-7156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS017817L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0032775000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip A Dobson, MD
• Rose Doe
• Alli Domers, MSW
• Margaret B Dooley, CRNP
• Leslie Robert Dorf, P.T.
• Lauren Driscoll
• Michael Bryant Duffey Sr., MED.,LATC.,CSA
• Nathanlyn Z Duncan
• Rachel Early
• Mark R Edelstein, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Broomall, PA
• Providers in Broomall, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.