Individual provider Active NPI

Alexis Paris Gordon, DMD

  • Student in an Organized Health Care Education/Training Program
  • Nashville, TN
National Provider Identifier
1720839293
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
13260 Issued in TN
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

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14455CTMDClinical Social Worker
DN10000862MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.