DR. JONATHAN MELVIN GORDON (NPI# 1255448767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255448767 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MELVIN GORDON |
| Practice Address |
414 N Camden Dr Suite 1260 Beverly Hills CA 90210-4532 |
| Practice Telephone | 3108598123 |
| Practice Fax Number | 3108592884 |
| Mailing Telephone | 3108598123 |
| Mailing Fax Number | 3108592884 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
34926 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538647698 | Jonathan Gordon | Registered Nurse | 1419 Grande Mesa Dr, Georgetown, TX 78626-7079 | 2018-08-01 |
| 1790299501 | Jonathan D Gordon | Psychologist | 310 Cedar Ln Fl 2, Teaneck, NJ 07666-3441 | 2017-12-01 |
| 1720322852 | Jonathan Gordon | Dentist | 1250 Garth Rd, Baytown, TX 77520-2423 | 2012-11-15 |
| 1255669727 | Jonathan Dales Gordon | Dentist | 5425 Verna Blvd, Jacksonville, FL 32205-4762 | 2009-11-21 |
| 1568460483 | Jonathan K Gordon | Surgery | 100 Amesbury St, Suite 113, Lawrence, MA 01840-1321 | 2005-07-13 |
| 1235766940 | Jonathan Gordon | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-03-24 |
| 1104004886 | Jonathan Gordon | Physical Therapist | 6744 Clayton Rd, Suite 220, Saint Louis, MO 63117-1637 | 2008-02-05 |
| 1932236528 | Jonathan L Gordon | Family Medicine | 2500 S Havana St, Aurora, CO 80014-1618 | 2007-02-28 |
| 1043232879 | Jonathan P. Gordon | Radiology | 3024 Business Park Cir, Goodlettsville, TN 37072-3132 | 2006-07-24 |
| 1336173418 | Jonathan E Gordon | Optometrist | 4320 W Broward Blvd, Suite 2, Plantation, FL 33317-3756 | 2006-07-11 |
| Street Address |
414 N CAMDEN DR SUITE 1260 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743076 | Robert Benjamin Pompa | Urology | 414 N Camden Dr, Ste 650, Beverly Hills, CA 90210-4532 | 2005-07-07 |
| 1689156820 | Molly Pringle | Nurse Practitioner | 414 N Camden Dr, Beverly Hills, CA 90210-4532 | 2018-09-04 |
| 1477088540 | Beverly Hills Medical Center | Clinic/Center | 414 N Camden Dr, Suite 101, Beverly Hills, CA 90210-4532 | 2017-04-26 |
| 1053778878 | Deepak Dugar Md A Medical Corporation | Otolaryngology | 414 N Camden Dr, Ste 801, Beverly Hills, CA 90210-4532 | 2016-01-25 |
| 1821480567 | Beverly Hills Audiology PC | Audiologist | 414 N Camden Dr, 975, Beverly Hills, CA 90210-4532 | 2015-03-03 |
| 1104214246 | David S Keen | Dentist | 414 N Camden Dr, 700, Beverly Hills, CA 90210-4532 | 2014-12-23 |
| 1164863031 | Dr. Frederick & Associates A Chiropractic Corporation | Chiropractor | 414 N Camden Dr, Suite 1050, Beverly Hills, CA 90210-4532 | 2013-07-08 |
| 1710248331 | Obaid Chaudhry | Plastic Surgery | 414 N Camden Dr, Beverly Hills, CA 90210-4532 | 2012-05-30 |
| 1568753861 | Camden 3d Dental Imaging, Inc | Clinic/Center | 414 N Camden Dr, Ste 990, Beverly Hills, CA 90210-4532 | 2011-04-21 |
| 1518261395 | Larry Richard Rifkin | Dentist | 414 N Camden Dr, Suite # 1280, Beverly Hills, CA 90210-4532 | 2011-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| 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 |
|---|---|---|---|---|
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1801453121 | Jean-jacques Elbaz, D.d.s., M.s. A Prof Dental Corp | Dentist | 9465 Wilshire Blvd Ste 450, Beverly Hills, CA 90212-2614 | 2019-05-22 |
| 1093210353 | Ravon & Bashawaty Dental Partnership | Dentist | 9675 Brighton Way Ph A, Beverly Hills, CA 90210-5164 | 2018-03-28 |
| 1225587876 | Sam S. Markzar, Inc | Dentist | 8500 Wilshire Blvd Ste 819, Beverly Hills, CA 90211-3106 | 2016-09-23 |
| 1538565510 | Violetta Kenigsberg | Dentist | 8549 Wilshire Blvd Ste 1159, Beverly Hills, CA 90211-3104 | 2014-11-18 |
| 1477897494 | Talia Shainhouse | Dentist | 9950 Durant Dr, #304, Beverly Hills, CA 90212-1615 | 2012-11-15 |
| 1407183205 | Shervin M Molayem | Dentist | 264 S La Cienega Blvd # 943, Beverly Hills, CA 90211-3302 | 2009-11-16 |
| 1518193275 | David Farivar | Dentist | 240 S La Cienega Ste 401, Beverly Hills, CA 90211-3316 | 2009-06-08 |
| 1174760185 | Sharyar E. Baradaran | Dentist | 414 N. Camden Dr, #1240, Beverly Hills, CA 90210 | 2009-01-13 |
| 1154576619 | Sahar Verdi | Dentist | 9025 Wilshire Blvd Ste 307, Beverly Hills, CA 90211-1827 | 2008-11-25 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
Please comment or provide details below to improve the information on DR. JONATHAN MELVIN 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.