Terence Gordon, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

2717 Leighton Ridge Dr
Ste 100
Wake Forest, NC 27587-5987

Phone

(919) 556-3403

NPI assigned

Mar 30, 2016

Last updated

Mar 30, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1871956649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 LEIGHTON RIDGE DR",
            "address_2": "STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 LEIGHTON RIDGE DR",
            "address_2": "STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875987",
            "telephone_number": "919-556-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TERENCE",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Kyung-Mi Gomez, RD, LDN
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• Angela J Good, FNP
• Justin E Gordon, DPT
• Margaret Goris, FNP-BC, MSN(R)
• Gorlesky Back & Neck Chiropractic, Inc
• Jack Gorlesky, DC
• Ashley Sarah Gorman, M.S., CF-SLP
• Leigh Goroski

• Prosthetist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.