David Royce Gordon, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7389995-9922 Issued in UT

Practice address

981 S Main St
Suite 260
Logan, UT 84321-6053

Phone

(435) 787-0222

Fax

(435) 787-8499

NPI assigned

Sep 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peak Sleep Wellness LLC

  • Dentist
  • Logan, UT
  • NPI 1891380937
  NPD Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1770716045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 S MAIN ST",
            "address_2": "SUITE 260",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216053",
            "telephone_number": "435-787-0222",
            "fax_number": "435-787-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 S MAIN ST",
            "address_2": "SUITE 260",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843216053",
            "telephone_number": "435-787-0222",
            "fax_number": "435-787-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAVID",
        "middle_name": "ROYCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "7389995-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Steps Inpatient
• Beatriz Andrea Gomez Franco, LCSW
• Jose Manuel Gonzalez Vera, MS
• Leona Gamble Goodsell
• Jan Barry Goossens, M.D.
• Jacob Darius Gossner, LAMFT
• Danielle Marie Graham
• Jamie Coy Grange, PA-C
• Brent Wayne Gray, DMD
• Great Basin Urgent Care LLC

• Dentist in Logan, UT
• Providers in Logan, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.