DR. DAVID GORDON (NPI# 1417165424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417165424 |
| Entity Type | Individual |
| Full Name | DR. DAVID GORDON |
| Credential | DDS |
| Practice Address |
1842 Beacon St Brookline MA 02445-1930 |
| Practice Telephone | 6175665445 |
| Practice Fax Number | 6177308482 |
| Mailing Telephone | 6175665445 |
| Mailing Fax Number | 6177308482 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10546 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689060600 | David Hirsch Gordon | Emergency Medicine | Stony Brook Medicine - Em 100 Nicolls Road, Hsc, Level 4, Room 080, Stony Brook, NY 11794 | 2015-04-07 |
| 1619300852 | David Alan Gordon | Veterinarian | 2960 San Luis Rey Rd, Oceanside, CA 92058-1241 | 2013-08-12 |
| 1386994440 | David A Gordon | Dentist | 255 S Grand Ave Apt 2108, Los Angeles, CA 90012-3045 | 2012-09-17 |
| 1962799791 | David Gordon | Veterinarian | 720 Valencia St, San Francisco, CA 94110-1735 | 2011-06-30 |
| 1730398777 | David Jay Gordon | Physical Therapist | 237 Winthrop St. Rt. 44, Personal Best Physical Therapy, Rehoboth, MA 02769 | 2007-05-22 |
| 1821133554 | David E Gordon | Social Worker | 4476 Main Street, Suite 208, Amherst, NY 14226 | 2007-02-20 |
| 1992879407 | David W Gordon | Optometrist | 851 N Hollywood Way, Burbank, CA 91505-2814 | 2006-11-17 |
| 1568534501 | David Gordon | Nuclear Medicine | 825 Bungalow Ln, Mattituck, NY 11952-2209 | 2006-11-14 |
| 1407949332 | David Lee Gordon | Specialist | 4530 Southlake Pkwy # A, Birmingham, AL 35244-3237 | 2006-10-02 |
| 1518058775 | David Kent Gordon II | Family Medicine | 1058 W. Perimeter Road, Joint Base Andrews, MD 20762 | 2006-09-27 |
| Street Address |
1842 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003800905 | Brookline Hearing Services Inc | Audiologist-Hearing Aid Fitter | 1842 Beacon St, Suite #403, Brookline, MA 02445 | 2005-09-07 |
| 1588275549 | Catherine Paggi | Physical Therapist | 1842 Beacon St, Brookline, MA 02445-1930 | 2020-08-13 |
| 1285281592 | Jonathan Elcock | Physical Therapist | 1842 Beacon St, Brookline, MA 02445-1930 | 2019-08-21 |
| 1104364629 | Iveta Iontcheve-barehmi Dmd PC | Dentist | 1842 Beacon St, Ste 305, Brookline, MA 02445-1930 | 2017-02-03 |
| 1245687151 | First Choice Healthcare, Inc. | Hospice Care, Community Based | 1842 Beacon St, 203, Brookline, MA 02445-1930 | 2016-05-20 |
| 1528466927 | Paggi Physical Therapy & Sports Rehabilitation, Inc | Physical Therapist | 1842 Beacon St, Ste 207, Brookline, MA 02445-1930 | 2014-12-17 |
| 1649686593 | Jenna Hubbard Karcher | Audiologist | 1842 Beacon St, Suite #403, Brookline, MA 02445-1930 | 2014-07-10 |
| 1346654316 | Smile Institute PC | Dentist | 1842 Beacon St, Suite 401, Brookline, MA 02445-1930 | 2014-06-17 |
| 1235567462 | Suzanne Rakov | Hearing Instrument Specialist | 1842 Beacon St, Suite 403, Brookline, MA 02445-1930 | 2013-10-25 |
| 1386086213 | Karissa Rae Koster | Dentist | 1842 Beacon St, Suite 401, Brookline, MA 02445-1930 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| 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 |
|---|---|---|---|---|
| 1811538705 | Samuel Ustayev | Dentist | 1842 Beacon St Ste 301, Brookline, MA 02445-1922 | 2019-10-02 |
| 1922667872 | Sandy Perez | Dentist | 1842 Beacon St Ste 304, Brookline, MA 02445-1900 | 2019-06-12 |
| 1528410321 | George Karl Koch IIi | Dentist | 35 White Pl Apt 3, Brookline, MA 02445-7987 | 2016-07-06 |
| 1760836936 | Leila El-youssef Suwwan | Dentist | 1330 Beacon St Ste 353, Brookline, MA 02446-3202 | 2016-04-14 |
| 1649654286 | Hyung Joon Kim | Dentist | 1626 Beacon St, Brookline, MA 02446-2201 | 2015-07-14 |
| 1720461189 | Sahara Dental Center | Dentist | 364 Harvard St # C1, Brookline, MA 02446-2920 | 2015-07-02 |
| 1699112151 | Stanislav Kovtun | Dentist | 185 Harvard St, Brookline, MA 02446-5013 | 2013-05-23 |
| 1356685275 | Peter Brzoza, LLC | Dentist | 1284 Beacon Street, Apt# 202, Brookline, MA 02446 | 2012-11-15 |
| 1902119274 | Robert Guen Dmd & Associates, LLC | Dentist | 1035a Beacon St, Brookline, MA 02446-5609 | 2010-07-15 |
| 1831427475 | Sabeen Tiwana | Dentist | 128 Beaconsfield Rd, Unit 1, Brookline, MA 02445-3323 | 2009-11-19 |
| Find all providers in BROOKLINE | ||||
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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.