David Charles Gordon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14624 Issued in MD

Practice address

656 Quince Orchard Rd
Suite 104
Gaithersburg, MD 20878-1409

Phone

(301) 258-1998

Fax

(301) 258-2851

NPI assigned

Jul 1, 2010

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gordon Center for General and Advanced Denistry, LLC

  • General Practice Dentistry
  • Gaithersburg, MD
  • NPI 1487485413
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299369600000",
    "number": "1942511258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 QUINCE ORCHARD RD",
            "address_2": "SUITE 104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781409",
            "telephone_number": "301-258-1998",
            "fax_number": "301-258-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 QUINCE ORCHARD RD",
            "address_2": "SUITE 104",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781409",
            "telephone_number": "301-258-1998",
            "fax_number": "301-258-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2011-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Physical Therapy and Wellness Center,LLC
• Maxim Alexander Goohs
• Anna Marie Gordin, LCSW C
• Gordon Center for General and Advanced Denistry, LLC
• Christy Elaine Gordon, M.S. LCPC
• Elsie Managbanag Gordon, PH.D.
• Erika L Gordon, MSW
• Leonard Steven Gordon, D.D.S.
• Taja Gordon
• John Gotlewski, PSY.D.

• General Practice Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.