JENNIFER L. GORDON (NPI# 1699877464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699877464 |
| Entity Type | Individual |
| Full Name | JENNIFER L. GORDON |
| Credential | D.D.S. |
| Practice Address |
1181 Central Blvd Ste E Brentwood CA 94513-2252 |
| Practice Telephone | 9256346105 |
| Practice Fax Number | 9256347372 |
| Mailing Telephone | 9256346105 |
| Mailing Fax Number | 9256347372 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
41608 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052581 | Jennifer Lynn Gordon | Technician | 142 Argyle St, Keyser, WV 26726-3329 | 2020-08-03 |
| 1093969842 | Jennifer Marie Gordon | Case Manager/Care Coordinator | 322 N Shore Dr Ste 200, Pittsburgh, PA 15212-5875 | 2008-11-06 |
| 1093979064 | Jennifer Lynn Gordon | Registered Nurse | 516 1/2 Cleveland Blvd, Fayetteville, NY 13066-1110 | 2008-07-17 |
| 1831386101 | Jennifer Ann Gordon | Emergency Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2007-10-01 |
| 1831241777 | Jennifer Leigh Gordon | Physical Therapist | 17066 Hwy 3, Webster, TX 77598 | 2007-01-18 |
| 1437112034 | Jennifer Gordon | Specialist/Technologist | 2502 Derby Dr, Fallston, MD 21047-1208 | 2006-04-06 |
| 1487615027 | Jennifer Gordon | Physical Therapist | 14999 Health Center Dr Ste 201, Bowie, MD 20716-1087 | 2006-03-31 |
| 1932182912 | Jennifer Gordon | Psychologist | 1639 E 19th Ave, Eugene, OR 97403-1902 | 2005-11-23 |
| 1427667864 | Jennifer Julien Gordon | Occupational Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2020-07-30 |
| 1023588472 | Jennifer Ryan Gordon | Student in an Organized Health Care Education/Training Program | 953 Danby Rd, Ithaca, NY 14850-7000 | 2018-11-28 |
| Street Address |
1181 CENTRAL BLVD STE E |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330342 | Patrick Michael Glisczinski | Dentist | 330 Franklin Rd Ste 230b, Brentwood, TN 37027-3210 | 2020-06-12 |
| 1700418068 | Jolly and Morton Advanced Dentistry | Dentist | 785 Old Hickory Blvd Ste 100, Brentwood, TN 37027-4512 | 2020-02-05 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1831658012 | Soh of Tennessee Pllc | Dentist | 317 Seven Springs Way Ste 204, Brentwood, TN 37027-4991 | 2019-03-18 |
| 1215422779 | Ashton Wright Glasscock | Dentist | 5409 Maryland Way Ste 210, Brentwood, TN 37027-5068 | 2018-06-27 |
| 1912417049 | Noesis Dental Pllc | Dentist | 1195 Old Hickory Blvd Ste 205, Brentwood, TN 37027-4239 | 2017-10-03 |
| 1760991657 | Trieu Ton Dental, PC | Dentist | 6471 Lone Tree Way Ste 301, Brentwood, CA 94513-5265 | 2017-09-25 |
| 1437671013 | Brentwood Dental Studio, Pllc | Dentist | 211 Franklin Rd Ste 180, Brentwood, TN 37027-5592 | 2017-07-14 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1053852293 | Will Jones Dds Pllc | Dentist | 6716 Nolensville Rd, Suite 120, Brentwood, TN 37027-8864 | 2017-03-20 |
| Find all providers in BRENTWOOD | ||||
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| 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.