Active NPI
Gordon L. Pattison, D.D.S., Apdc
- Periodontics
- Los Angeles, CA
National Provider Identifier
1710908991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22399
- Legal business name
- GORDON L. PATTISON, D.D.S., APDC
- Practice address
- 11859 Wilshire Blvd
Ste. 550
Los Angeles, CA 90025-6616 - Phone
- (310) 473-3800
- Fax
- (310) 473-9107
- NPI assigned
- Jul 22, 2006
- 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
- Dr. Gordon L. Pattison III, D.D.S.
- Title
- President
- Phone
- (310) 473-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22399 | CA | Primary |
Addresses
Primary practice location
11859 Wilshire Blvd
Ste. 550
Los Angeles, CA 90025-6616
Mailing address
11859 Wilshire Blvd
Ste. 550
Los Angeles, CA 90025-6616
Phone (310) 473-3800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228262400000",
"number": "1710908991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11859 WILSHIRE BLVD",
"address_2": "STE. 550",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256616",
"telephone_number": "310-473-3800",
"fax_number": "310-473-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11859 WILSHIRE BLVD",
"address_2": "STE. 550",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256616",
"telephone_number": "310-473-3800",
"fax_number": "310-473-9107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON L. PATTISON, D.D.S., APDC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2008-12-03",
"status": "A",
"authorized_official_last_name": "PATTISON",
"authorized_official_first_name": "GORDON",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-473-3800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "22399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.