Organization Active NPI

Nicole T Gordon, DMD, PLC

Doing business as Gordon Dentistry

  • Dental Clinic/Center
  • Palm Harbor, FL
National Provider Identifier
1720224074
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
263787324 Issued in FL
Legal business name
NICOLE T GORDON, DMD, PLC
Doing business as
Gordon Dentistry
Practice address
691 Alderman Rd
Palm Harbor, FL 34683-2602
Phone
(727) 724-4227
NPI assigned
Dec 16, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Nicole T Gordon, DMDNPI 1013123470
Title
Dentist/Owner
Phone
(727) 724-4227

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 263787324 FL Primary

Addresses

Primary practice location

691 Alderman Rd
Palm Harbor, FL 34683-2602

Mailing address

1301 Eniswood Pkwy
Palm Harbor, FL 34683-2027
Phone (727) 724-4227

Other names 1

  • Gordon Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

691 Alderman Rd
Palm Harbor, FL 34683
Phone (727) 724-4227

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1720224074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ENISWOOD PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832027",
            "telephone_number": "727-724-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 ALDERMAN RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346832602",
            "telephone_number": "727-724-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE T GORDON, DMD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "727-724-4227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "263787324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.