Active NPI
Marsha Adler Gordon, DDS
- Pediatric Dentistry
- Allentown, PA
National Provider Identifier
1770659542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS026384L
- Practice address
- 1525 Hausman Rd
Allentown, PA 18104-9258 - Phone
- (610) 433-5111
- Fax
- (610) 433-4393
- NPI assigned
- Nov 25, 2006
- Last updated
- Sep 17, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS026384L | PA | Primary |
Addresses
Primary practice location
1525 Hausman Rd
Allentown, PA 18104-9258
Mailing address
1525 Hausman Rd
Allentown, PA 18104-9258
Phone (610) 433-5111
Other identifiers 25
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CDOH1 | Other | OH | DELTA DENTAL OF OH |
| 54084 | Other | VA | DELTA DENTAL OF VA |
| 77777 | Other | CA | DELTA DENTAL OF CA |
| 91062 | Other | WA | DELTA DENTAL OF WA |
| CDTN1 | Other | TN | DELTA DENTAL OF TN |
| 05030 | Other | IL | DELTA DENTAL OF IL |
| CDIA1 | Other | IA | DELTA DENTAL OF IA |
| 02027 | Other | VT | DELTA DENTAL OF VT |
| 22189 | Other | CT | DELTA DENTAL OF CT |
| 51022 | Other | DE | DELTA DENTAL OF DE |
| 86027 | Other | AZ | DELTA DENTAL OF AR |
| 11198 | Other | NY | DELTA DENTAL OF NY |
| 84056 | Other | CO | DELTA DENTAL OF CO |
| CDKS1 | Other | KS | DELTA DENTAL OF KS |
| CDM10 | Other | MI | DELTA DENTAL OF MI |
| 22189 | Other | NJ | DELTA DENTAL OF NJ |
| 23166 | Other | PA | DELTA DENTAL OF PA |
| 39069 | Other | WI | DELTA DENTAL OF WI |
| 43090 | Other | MO | DELTA DENTAL OF MO |
| CDOK1 | Other | OK | DELTA DENTAL OF OK |
| 56101 | Other | NC | DELTA DENTAL OF NC |
| 04614 | Other | MA | DELTA DENTAL OF MA |
| 05029 | Other | RI | DELTA DENTAL OF RI |
| 94276 | Other | GA | DELTA DENTAL GA |
| CDMN1 | Other | MN | DELTA DENTAL OF MN |
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 |
|---|---|---|---|
| DS026384L | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474070400000",
"number": "1770659542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 HAUSMAN RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049258",
"telephone_number": "610-433-5111",
"fax_number": "610-433-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 HAUSMAN RD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181049258",
"telephone_number": "610-433-5111",
"fax_number": "610-433-4393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "MARSHA",
"middle_name": "ADLER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-25",
"last_updated": "2016-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS026384L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF OH",
"identifier": "CDOH1",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF VA",
"identifier": "54084",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF CA",
"identifier": "77777",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF WA",
"identifier": "91062",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF TN",
"identifier": "CDTN1",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF IL",
"identifier": "05030",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF IA",
"identifier": "CDIA1",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF VT",
"identifier": "02027",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF CT",
"identifier": "22189",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF DE",
"identifier": "51022",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF AR",
"identifier": "86027",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF NY",
"identifier": "11198",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF CO",
"identifier": "84056",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF KS",
"identifier": "CDKS1",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF MI",
"identifier": "CDM10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF NJ",
"identifier": "22189",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF PA",
"identifier": "23166",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF WI",
"identifier": "39069",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF MO",
"identifier": "43090",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF OK",
"identifier": "CDOK1",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF NC",
"identifier": "56101",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF MA",
"identifier": "04614",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF RI",
"identifier": "05029",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL GA",
"identifier": "94276",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF MN",
"identifier": "CDMN1",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.