Organization Active NPI

James W Gordon DDS Inc

  • Durable Medical Equipment & Medical Supplies
  • Fishers, IN
National Provider Identifier
1902491517
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAMES W GORDON DDS INC
Practice address
8960 Fitness LN
Fishers, IN 46037-8208
Phone
(317) 845-9130
NPI assigned
Mar 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Dr. James William Gordon III, DDSNPI 1386650497
Title
President
Phone
(317) 845-9130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

8960 Fitness LN
Fishers, IN 46037-8208

Mailing address

8960 Fitness LN
Fishers, IN 46037-8208
Phone (317) 845-9130

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fishers Direct

National Provider Directory

National Provider Directory

Locations

8960 Fitness Ln
Fishers, IN 46037
Phone (317) 845-9130

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1902491517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 FITNESS LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378208",
            "telephone_number": "317-845-9130",
            "fax_number": "317-845-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 FITNESS LN",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378208",
            "telephone_number": "317-845-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W GORDON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-845-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fishers",
            "affiliation": "N",
            "endpointDescription": "dds",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fishers",
            "address_1": "8960 Fitness Ln",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460378208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.