GORDON ORTHODONTICS, INC. (NPI# 1104073246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104073246 |
| Entity Type | Organization |
| Organization Name | GORDON ORTHODONTICS, INC. |
| Practice Address |
840 Tiogue Ave Coventry RI 02816-5914 |
| Practice Telephone | 4018281171 |
| Practice Fax Number | 4018284704 |
| Mailing Telephone | 4018281171 |
| Mailing Fax Number | 4018284704 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | DR. WILLIAM M GORDON (ORTHODONTIST) |
| Authorized Official Telephone | 4018281171 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2421 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS DENTAL OF RHODE ISLAND | 8607-7 | 01 |
| RI | MEDICAL ASSISTANCE | WG00555 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285966481 | Gordon Orthodontics, Inc. | Dentist | 1171 Main Street, Hope Valley, RI 02832 | 2010-02-12 |
| Street Address |
840 TIOGUE AVE |
| City | COVENTRY |
| State | RI |
| Zip Code | 02816-5914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730152182 | William Michael Gordon | Dentist | 840 Tiogue Ave, Coventry, RI 02816 | 2006-02-08 |
| 1427586775 | Rhode Island Childrens Dentistry | Dentist | 840 Tiogue Ave, Coventry, RI 02816-5914 | 2017-05-31 |
| 1053759225 | Robyn M Hofelich | Dentist | 840 Tiogue Ave, Coventry, RI 02816-5914 | 2013-06-11 |
| 1720380447 | Joanne C. Lewis Pediatric Dentistry, LLC | Dentist | 840 Tiogue Ave, Front Office, Coventry, RI 02816-5914 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912564 | Marissa Smyrski | Physical Therapist | 982 Tiogue Avneue, Suite 202, Coventry, RI 02816 | 2018-05-11 |
| 1952787640 | Hayley Houghton | Occupational Therapy Assistant | 501 Hill St, Coventry, RI 02816 | 2015-08-04 |
| 1255697082 | Eric George, Dmd Ltd. | Dentist | 121 Sandy Bottom Road, Coventry, RI 02816 | 2012-04-05 |
| 1396032595 | Dak Family Medical LLC | Nurse Practitioner | 87 Sandy Bottom Road, Coventry, RI 02816 | 2011-07-08 |
| 1558658963 | Coventry Skilled Nursing and Rehab | Skilled Nursing Facility | 10 Woodland Drive, Coventry, RI 02816 | 2011-07-06 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1326160961 | Alan A. Ali | Physician Assistant | 13th Civil Support Team, 570 Read Schoolhouse Road, Coventry, RI 02816 | 2007-04-04 |
| 1912022179 | Dr Roberta Boatwright Dds Inc | Dentist | 121 Sandy Bottom Rd, Coventry, RI 02816 | 2007-03-20 |
| 1851441083 | Dmitry Z Gelfand | Dentist | 903 Tiogue Avenue, Coventry, RI 02816 | 2007-01-11 |
| 1538220694 | Coventry Imaging Associates LLC | Radiology | 71 Sandy Bottom Road, Coventry, RI 02816 | 2006-12-13 |
| Find all providers in zip 02816 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1730152182 | William Michael Gordon | Dentist | 840 Tiogue Ave, Coventry, RI 02816 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285966481 | Gordon Orthodontics, Inc. | Dentist | 1171 Main Street, Hope Valley, RI 02832 | 2010-02-12 |
| 1689873952 | Michael Thomas Ferry | Dentist | 599 Pontiac Ave, Cranston, RI 02910-4709 | 2007-07-16 |
| 1417162165 | University Orthodontics | Dentist | 95 Sockanosset Cross Rd, Cranston, RI 02920-5559 | 2007-05-14 |
| 1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
| 1073727095 | Scott Harsfield | Dentist | 1429 Warwick Ave, Warwick, RI 02888-5062 | 2007-05-09 |
| 1336261171 | Paul D Cashion | Dentist | 45 Patton Ave, Wakefield, RI 02879 | 2007-04-04 |
| 1790819985 | Cosmo Haralambidis | Dentist | 59 Phenix Avenue, Cranston, RI 02920-4222 | 2007-03-16 |
| 1396875753 | Robert P. Hayden | Dentist | 5 Crestview Dr, Westerly, RI 02891-2907 | 2007-03-06 |
| 1710028121 | Alan Craig Smith | Dentist | 500 Tollgate Road, Warwick, RI 02886 | 2007-02-09 |
| 1306990700 | James L Hurst | Dentist | 137 West Main Rd, Middletown, RI 02842 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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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.