DR. MARK RICHARD GORDON (NPI# 1356365126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356365126 |
| Entity Type | Individual |
| Full Name | DR. MARK RICHARD GORDON |
| Credential | D.D.S. |
| Practice Address |
2121 Eisenhower Ave Suite 502 Alexandria VA 22314-4698 |
| Practice Telephone | 7036830117 |
| Mailing Telephone | 7036830117 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
VA6393 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497183404 | Mark Gordon | Homemaker | 16938 S Dixie Hwy, Palmetto Bay, FL 33157-4354 | 2013-10-30 |
| 1750409629 | Mark A Gordon | Physician Assistant | 13601 Wood Forest Blvd, Houston, TX 77015 | 2007-03-27 |
| 1568420099 | Mark Jay Gordon | Optometrist | 978 Colvin Blvd, Kenmore, NY 14217-2128 | 2006-05-03 |
| 1396734331 | Mark Howard Gordon | Dentist | 15 Fletcher Ave, Valley Stream, NY 11580-4000 | 2005-10-20 |
| 1386643740 | Mark J Gordon | Dentist | 4121 W 83rd St, Suite 212, Prairie Village, KS 66208-5300 | 2005-07-19 |
| 1528489184 | Mark Gordon | Nurse Anesthetist, Certified Registered | 1 Saint Joseph Dr, Lexington, KY 40504-3742 | 2013-12-30 |
| 1841576543 | Mark Gordon | Pharmacist | 1305 N Casaloma Dr, Grand Chute, WI 54913-8848 | 2011-10-25 |
| 1306987946 | Mark Lorry Gordon | Family Medicine | 16661 Ventura Blvd, Suite 716, Encino, CA 91436-1914 | 2007-02-08 |
| 1891869202 | Mark Gordon | Optometrist | 230 W Jersey St, Suite 201, Elizabeth, NJ 07202-1364 | 2006-11-17 |
| 1821028382 | Mark B Gordon | Optometrist | 100 Park Ave, Baltimore, MD 21201-3416 | 2006-07-03 |
| Street Address |
2121 EISENHOWER AVE SUITE 502 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561402 | Bruhaspaty Prasad | Social Worker | 2121 Eisenhower Ave, Alexandria, VA 22314-4698 | 2020-02-26 |
| 1477100428 | Samantha Adas | Dietitian, Registered | 2121 Eisenhower Ave, Alexandria, VA 22314-4698 | 2019-08-23 |
| 1760904270 | Ashley Mitchell | Counselor | 2121 Eisenhower Ave, Alexandria, VA 22314 | 2017-07-17 |
| 1932637303 | Laura Fryman | Speech-Language Pathologist | 2121 Eisenhower Ave, Alexandria, VA 22314-4698 | 2017-05-31 |
| 1174916399 | Altimate Home Health Care Services Inc. | Home Health | 2121 Eisenhower Ave, Suite 200, Alexandria, VA 22314-4698 | 2015-03-12 |
| 1740687490 | Practical Speech Solutions, Plc | Speech-Language Pathologist | 2121 Eisenhower Ave, Suite #234, Alexandria, VA 22314-4698 | 2014-11-24 |
| 1659700565 | Neurofeedback Consultants | Counselor | 2121 Eisenhower Ave, Suite 604, Alexandria, VA 22314-4698 | 2013-11-01 |
| 1154756963 | Caring Consultants | Social Worker | 2121 Eisenhower Ave, Suite 604, Alexandria, VA 22314-4698 | 2013-09-11 |
| 1457656084 | Domain Medical Home Health & Staffing, Inc. | Home Health | 2121 Eisenhower Ave, Suite 112, Alexandria, VA 22314-4698 | 2011-01-12 |
| 1023349594 | Reliance Home Care Services LLC | Home Health | 2121 Eisenhower Ave, Suite 200, Alexandria, VA 22314-4698 | 2010-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1487709846 | Karl Allen Smith | Dentist | 2500 N Van Dorn St Ste 128, Alexandria, VA 22302-1601 | 2007-01-24 |
| 1114035573 | David Carlson Anderson | Dentist | 5288 Dawes Ave, Alexandria, VA 22311 | 2006-08-27 |
| 1992002075 | Dima Lakkis | Dentist | 4660 Kenmore Ave, Alexandria, VA 22304-1313 | 2011-02-25 |
| 1174660856 | Harold Harvey Fagan | Dentist | 4660 Kenmore Ave, Suite 300, Alexandria, VA 22304-1313 | 2007-01-31 |
| 1528104262 | David Sarment | Dentist | 4660 Kenmore Ave, Suite 312, Alexandria, VA 22304-1313 | 2007-01-29 |
| 1669570586 | Justin D Zalewsky | Dentist | 4660 Kenmore Ave, Suite 300, Alexandria, VA 22304-1313 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
| 1194258095 | Rashmi Ganesh | Dentist | 23371 Bymes Mill Ter, Ashburn, VA 20148-8112 | 2017-04-06 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on DR. MARK RICHARD GORDON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.