Organization Active NPI

Gordon L. Pattison, D.D.S., Apdc

  • Periodontics
  • Los Angeles, CA
National Provider Identifier
1710908991
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22399 Issued in CA
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

Updated by the provider on Dec 3, 2008

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)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.