Active NPI
Alexis Paris Gordon, DMD
- Student in an Organized Health Care Education/Training Program
- Nashville, TN
National Provider Identifier
1720839293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 13260
- Practice address
- 1801 Meharry Blvd
Nashville, TN 37208 - Phone
- (615) 327-6297
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 13260 | TN | Primary |
| Dentist | 122300000X | DN10000862 | MA | |
| Dentist | 122300000X | 14455 | CT |
Addresses
Primary practice location
1801 Meharry Blvd
Nashville, TN 37208
Mailing address
101 Athens Way Apt 361
Nashville, TN 37228-1661
Phone (770) 912-1675
Other practice location 1
193 River Rd Ste 230
Lisbon, CT 06351-3258
Phone (860) 376-8800
Other practice location 2
96 Storrs Rd Ste 1
Willimantic, CT 06226-4013
Phone (959) 219-4163
Other practice location 3
434 Southbridge St Ste B
Auburn, MA 01501-4423
Phone (508) 752-6649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14455 | CT | MD | Clinical Social Worker |
| DN10000862 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasmin Henville DMD - Libson PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Lisbon, CT
- NPI 1912350299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1720839293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ATHENS WAY APT 361",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281661",
"telephone_number": "770-912-1675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 MEHARRY BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37208",
"telephone_number": "615-327-6297"
}
],
"practiceLocations": [
{
"address_1": "193 River Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Lisbon",
"state": "CT",
"postal_code": "063513258",
"country_code": "US",
"telephone_number": "860-376-8800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 Storrs Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Willimantic",
"state": "CT",
"postal_code": "062264013",
"country_code": "US",
"telephone_number": "959-219-4163",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "434 Southbridge St Ste B",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "MA",
"postal_code": "015014423",
"country_code": "US",
"telephone_number": "508-752-6649",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "ALEXIS",
"middle_name": "PARIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TN",
"license": "13260",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN10000862",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "14455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.