DAVID MICHAEL GORDON (NPI# 1487757308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487757308 |
| Entity Type | Individual |
| Full Name | DAVID MICHAEL GORDON |
| Credential | D.D.S. |
| Practice Address |
23 Rotary Way Vallejo CA 94591-8475 |
| Mailing Address |
823 Bantry Court Benicia CA 94510 |
| Practice Telephone | 7075572200 |
| Practice Fax Number | 7076427502 |
| Mailing Telephone | 7077451344 |
| Mailing Fax Number | 7076427502 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 31465 | CA | 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 |
23 ROTARY WAY |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-8475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457998999 | Kataria Dental, Inc. | Dentist | 23 Rotary Way, Vallejo, CA 94591-8475 | 2019-12-03 |
| 1558571802 | John W. Bristow, D.d.s. | Dentist | 23 Rotary Way, Vallejo, CA 94591-8475 | 2007-05-23 |
| 1174736581 | John W Bristow | Dentist | 23 Rotary Way, Vallejo, CA 94591-8475 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1598172579 | Paul B. Belusko, Dds, A Professional Corporation | Dentist | 125 Plaza Dr Ste 407, Vallejo, CA 94591-3707 | 2014-07-22 |
| 1801212691 | Chunkeun Choi Dds Inc | Dentist | 2121 Redwood St Ste A, Vallejo, CA 94590-3603 | 2014-03-17 |
| 1801162037 | Jerry Annoni | Dentist | 41 Admiral Callaghan Ln Ste F, Vallejo, CA 94591-4000 | 2012-04-02 |
| 1134358021 | Mercedes Aguilar Leoncio | Dentist | 263 Sandy Neck Way, Vallejo, CA 94591-7851 | 2009-07-13 |
| 1316108657 | Western Dental Services, Inc. | Dentist | 3587 Sonoma Blvd, Vallejo, CA 94590-2945 | 2008-06-19 |
| 1588823819 | Wini Zerline Luong | Dentist | 2920 Sonoma Blvd Ste A, Vallejo, CA 94590-3879 | 2008-06-02 |
| 1780841593 | Eugene H Burton IIi | Dentist | 4300 Sonoma Blvd Ste 124, Vallejo, CA 94589-2205 | 2008-05-20 |
| 1073780722 | Nazila Tazangi Edalati | Dentist | 475 Redwood St, 30, Vallejo, CA 94590-2954 | 2008-05-13 |
| 1437348034 | Blake Wesley Mcray | Dentist | 1309 Tennessee St, Vallejo, CA 94590-4645 | 2007-10-18 |
| Find all providers in VALLEJO | ||||
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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.