NPIMap

Organization Active NPI

Dr Michael J Gordon DDS PA

Doing business as Lenoir Family Dentistry

  • General Practice Dentistry
  • Lenoir, NC
National Provider Identifier
1871028340
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9539 Issued in NC
Legal business name
DR MICHAEL J GORDON DDS PA
Doing business as
Lenoir Family Dentistry
Western Carolina Family Dentistry
Practice address
505 Realty St SW
Lenoir, NC 28645-5567
Phone
(828) 754-2600
NPI assigned
Apr 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michael J Gordon Jr., DDSNPI 1710329701
Title
President
Phone
(828) 459-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9539 NC
General Practice Dentistry 1223G0001X 9539 NC Primary

Addresses

Primary practice location

505 Realty St SW
Lenoir, NC 28645-5567

Mailing address

2953 N Oxford St
Claremont, NC 28610-9661
Phone (828) 459-1400

Other names 2

  • Lenoir Family Dentistry Doing business as
  • Western Carolina Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Michael J Gordon DDS PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2953 N Oxford St
Claremont, NC 28610
Phone (828) 459-1400

Practitioners & affiliated clinicians

Practitioners 1

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": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871028340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 N OXFORD ST",
            "city": "CLAREMONT",
            "state": "NC",
            "postal_code": "286109661",
            "telephone_number": "828-459-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 REALTY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455567",
            "telephone_number": "828-754-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL J GORDON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-459-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9539",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lenoir Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Carolina Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.