STEPHANIE SPURLOCK GORDON (NPI# 1750516159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750516159 |
| Entity Type | Individual |
| Full Name | STEPHANIE SPURLOCK GORDON |
| Practice Address |
1245 Nw 119th St Miami FL 33167-3231 |
| Mailing Address |
282 Ne 54th St Apt 1 Miami FL 33137-2822 |
| Practice Telephone | 3056857863 |
| Mailing Telephone | 7863446583 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH 18410 | FL | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 18410 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970968 | Stephanie Gordon | Specialist/Technologist | 198 Heather Dr, Central, SC 29630-9308 | 2014-07-17 |
| 1619309945 | Stephanie Jean Gordon | Acupuncturist | 410 Wabash St, Michigan City, IN 46360-3334 | 2013-08-09 |
| 1629376835 | Stephanie Vicky Gordon | Massage Therapist | 2874 Shelby St, Suite 108, Bartlett, TN 38134-4579 | 2011-03-11 |
| 1366564288 | Stephanie Ward Gordon | Pharmacist | 7880 Winn Rd, Spring Grove, IL 60081-9687 | 2007-04-03 |
| 1407849722 | Stephanie H Gordon | Obstetrics & Gynecology | 2750 Owens Rd Sw, Suite A, Conyers, GA 30094-3991 | 2005-08-23 |
| 1386121366 | Stephanie Gordon | Dentist | 736 E Oak St, Oakland, MD 21550-1615 | 2018-07-23 |
| 1356864110 | Stephanie Christine Gordon | Licensed Practical Nurse | 2216 20th St, Zion, IL 60099-1648 | 2017-07-24 |
| 1174992127 | Stephanie Gordon | Advanced Practice Midwife | 611 W Park St, Urbana, IL 61801-2529 | 2015-09-21 |
| 1003234840 | Stephanie Gordon | Social Worker | 1900 S Acadian Thruway, Baton Rouge, LA 70808-1665 | 2014-03-30 |
| 1841500840 | Stephanie Marie Gordon | Behavioral Analyst | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2010-10-12 |
| Street Address |
1245 NW 119TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33167-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561954 | Kyle Joseph Phanord | Dentist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2020-05-29 |
| 1922622638 | Kevin Roger Phanord | Dentist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2020-05-29 |
| 1245717651 | Ari Evan Tow | Dentist | 1245 Nw 119th St, Miami, FL 33167-3231 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487183711 | Yusleydi Almaguer | Behavioral Analyst | 1205 Nw 116 Terr, Miami, FL 33167 | 2017-06-09 |
| 1952833477 | Lakeashi Lewis | Custodial Care Facility | 11910 N.w 19 Ave. #a, Miami, FL. 33167 | 2017-04-03 |
| 1326499617 | Roilan Hernandez | Behavior Technician | 12525 Nw 18th Ct, Miami, FL 33167 | 2016-06-28 |
| 1083064497 | Sierra Watkins | Behavioral Analyst | 15710 Nw 37th Place, Miami, FL 33167 | 2016-06-16 |
| 1790022093 | Adryanas Tech Codding One Corp | Contractor | 1363 Nw118th St, Miami, FL 33167 | 2013-01-08 |
| 1366574220 | Jose M Jules | Respiratory Therapist, Certified | 14611 Nw 13rd, Miami, FL 33167 | 2007-03-09 |
| 1881614212 | Synergy Pharmacy & Medical Supplies | Durable Medical Equipment & Medical Supplies | 1543 Nw 119 St, Miami, FL 33167 | 2006-07-20 |
| 1255362877 | Phanord & Associates Pa | Dentist | 1245 Nw 119 St, Miami, FL 33167 | 2006-07-05 |
| 1194761213 | Mary Cecilia Crosby | Dentist | 1245 Nw 119th Street, North Miami, FL 33167 | 2006-06-20 |
| 1669998605 | Whitney Victoria Drayton | Pharmacist | 6200 Nw 7th Ave, Miami, FL 33167 | 2017-08-22 |
| Find all providers in zip 33167 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829385 | Mailyn Cortes | Dental Hygienist | 1134 Sw 12th Ct, Miami, FL 33135-5418 | 2020-07-22 |
| 1902426729 | Jose Dalby Contreras | Dental Hygienist | 690 Sw 1st Ct Apt 2319, Miami, FL 33130-2927 | 2020-04-22 |
| 1619217528 | Alicia Quesada | Dental Hygienist | 8570 Sw 27th Ln, Miami, FL 33155-2349 | 2013-03-01 |
| 1710236732 | Mariana Pagano | Dental Hygienist | 951 Brickell Ave Apt 1005, Miami, FL 33131-3933 | 2012-09-05 |
| 1124392550 | Maria E Villarreal | Dental Hygienist | 14155 Sw 87th St, E 207, Miami, FL 33183-4091 | 2012-03-02 |
| 1659304376 | Wylene Ashley | Dental Hygienist | 1201 Nw 16h St., 1201 Nw 16 St., Miami, FL 33125 | 2006-07-08 |
| 1154921757 | Belkys Clavero Fernandez | Dental Hygienist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2020-11-01 |
| 1750988903 | Rosa Cristina Caraballo Novoa | Dental Hygienist | 6785 W Flagler St, Miami, FL 33144-2923 | 2020-10-01 |
| 1003454919 | Yuliet Alfonso Zaldivar | Dental Hygienist | 3510 Biscayne Blvd, Miami, FL 33137-3840 | 2019-12-11 |
| 1437611209 | Jenny Alejandra Alvarez | Dental Hygienist | 10300 Sw 216th Street, Miami, FL 33190 | 2019-04-02 |
| Find all providers in MIAMI | ||||
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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.