DR. RYAN LEE GORDON (NPI# 1316997240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316997240 |
| Entity Type | Individual |
| Full Name | DR. RYAN LEE GORDON |
| Credential | DDS MS |
| Practice Address |
6601 Lyndale Ave S Suite 230 Woodlake Centre Richfield MN 55423 |
| Mailing Address |
Po Box 23029 Richfield MN 55423 |
| Practice Telephone | 6126381224 |
| Practice Fax Number | 6126381232 |
| Mailing Telephone | 6128619123 |
| Mailing Fax Number | 6128619155 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D11620 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902238579 | Ryan James Gordon | Military Health Care Provider | 9955 Pomerado Rd Bldg 20300, San Diego, CA 92131-2041 | 2013-08-06 |
| 1265963367 | Ryan Douglas Gordon | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2017-03-21 |
| 1104219740 | Ryan Gordon | Pharmacist | 260 W Lehigh Ave, Philadelphia, PA 19133-3425 | 2015-03-06 |
| 1104125707 | Ryan Wesley Gordon | Anesthesiology | 135 W Ravine Rd Ste 5-b, Kingsport, TN 37660-3847 | 2011-03-22 |
| Street Address |
6601 LYNDALE AVE S SUITE 230 WOODLAKE CENTRE |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336114644 | Joseph Shaun Hicken | Dentist | 6601 Lyndale Ave S, Suite 240, Richfield, MN 55423-2477 | 2006-02-21 |
| 1891336863 | Jesse Elaine Olson | Nurse Practitioner | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2019-10-01 |
| 1134637457 | Downtown Eyes Crosstown Pllc | Ophthalmology | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2018-01-22 |
| 1083083323 | Micah Chan | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-09-16 |
| 1356724975 | Benjamin David Larson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2015-07-01 |
| 1689076432 | Laura Richardson | Physical Therapist | 6601 Lyndale Ave S, #105, Richfield, MN 55423 | 2014-09-24 |
| 1962785881 | Mary C Nolan | Nurse Practitioner | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2011-09-27 |
| 1558689778 | Andrew Esten | Internal Medicine | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2010-05-12 |
| 1003043175 | Rebecca Leigh Benson | Dentist | 6601 Lyndale Ave S, Richfield, MN 55423-2477 | 2009-06-16 |
| 1639356785 | Jan Mari Young | Physical Therapy Assistant | 6601 Lyndale Ave S, 105, Richfield, MN 55423-2477 | 2008-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902342256 | Reza Hamedy | Dentist | 6411 Richfield Pkwy, Richfield, MN 55423-6400 | 2017-01-10 |
| 1679673867 | Family Endodontic Specialists Plc | Dentist | 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071199 | Dental Specialist of Minnesota, Pllc | Dentist | 18258 Minnetonka Blvd Ste 100, Wayzata, MN 55391-3324 | 2020-07-29 |
| 1215588660 | The Dental Specialist of Minnesota, Pllc | Dentist | 324 W Superior St Ste 824, Duluth, MN 55802-1718 | 2019-09-26 |
| 1780236539 | Modern Care Endodontics of Apple Valley | Dentist | 15160 Foliage Ave Ste 100, Apple Valley, MN 55124-5916 | 2019-07-11 |
| 1699268052 | Christopher Rex Lai | Dentist | 8-166 Moos Health Sciene Tower, 515 Delaware St. Se, Minneapolis, MN 55455 | 2018-06-11 |
| 1699272427 | Group Health Plan Inc | Dentist | 5500 Excelsior Blvd, St Louis Park, MN 55416-2935 | 2018-04-09 |
| 1225533037 | Younghyup Byun | Dentist | 1900 Kruchten Ct S Ste 100, Sartell, MN 56377-4731 | 2018-03-26 |
| 1275034886 | Great River Endodontics | Dentist | 9381 Cedar St., Monticello, MN 55362 | 2018-02-28 |
| 1417464157 | Deer River Dental Clinic | Dentist | 111 Main Street E, Deer River, MN 56636 | 2018-01-03 |
| 1174045975 | The Dental Specialists of Minnesota, Pllc | Dentist | 4640 Nicols Rd Ste 202, Eagan, MN 55122-7400 | 2017-07-13 |
| 1861914061 | The Dental Specialist of Minnesota, Pllc | Dentist | 2550 University Ave W Ste 155s, Saint Paul, MN 55114-1098 | 2017-07-10 |
| 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.