DR. NICOLE HELEN GORDON (NPI# 1790858850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790858850 |
| Entity Type | Individual |
| Full Name | DR. NICOLE HELEN GORDON |
| Credential | DDS |
| Practice Address |
276 Kingsbury Grade Stateline NV 89449-9804 |
| Mailing Address |
Po Box 4680 Stateline NV 89449-4680 |
| Practice Telephone | 7755807410 |
| Practice Fax Number | 7755807308 |
| Mailing Telephone | 7755807410 |
| Mailing Fax Number | 7755807308 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
53970 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719067 | Nicole Lynn Gordon | Home Health Aide | 1013 W Semmes Ave, Osceola, AR 72370-2347 | 2020-10-28 |
| 1477192953 | Nicole Denise Gordon | Student in an Organized Health Care Education/Training Program | 26 Bog Hill Rd, Weare, NH 03281-4200 | 2019-12-31 |
| 1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
| 1609217447 | Nicole Gordon | Pharmacist | 2352 Shire Way, Oakdale, CA 95361-8923 | 2013-07-09 |
| 1013123470 | Nicole Thornton Gordon | Dentist | 691 Alderman Rd, Palm Harbor, FL 34683-2602 | 2007-05-15 |
| 1164636064 | Nicole Marie Gordon | Occupational Therapist | 2611 Guthrie Ave N, Oakdale, MN 55128-3924 | 2007-05-09 |
| 1982686523 | Nicole Michelle Gordon | Internal Medicine | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2005-11-18 |
| 1750988333 | Nicole Gordon | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2020-10-06 |
| 1154834604 | Nicole Gordon | Occupational Therapist | 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 | 2017-11-07 |
| 1720504376 | Nicole Gordon | Case Manager/Care Coordinator | 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 | 2017-08-16 |
| Street Address |
276 KINGSBURY GRADE |
| City | STATELINE |
| State | NV |
| Zip Code | 89449-9804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015153 | Justine Eloise Bradford | Chiropractor | 276 Kingsbury Grade, Ste 1050, Stateline, NV 89449-2246 | 2005-07-05 |
| 1851848956 | Kyle Machynia | Physician Assistant | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-9804 | 2016-09-06 |
| 1487025656 | Kingsbury Chiropractic LLC | Chiropractor | 276 Kingsbury Grade, #1050, Stateline, NV 89449-9804 | 2015-10-14 |
| 1972918407 | Christopher Pavich | Chiropractor | 276 Kingsbury Grade, Stateline, NV 89449-9804 | 2014-06-23 |
| 1780856559 | Martin E. Salm, M.d., Ltd | Dermatology | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-5910 | 2008-04-01 |
| 1487822201 | Eyezone, Inc. | Optometrist | 276 Kingsbury Grade, Suite 103, Stateline, NV 89449-7170 | 2008-02-14 |
| 1699986778 | Steven L Kline Od A Professional Corporation | Optometrist | 276 Kingsbury Grade, Suite 103, Stateline, NV 89449-7170 | 2007-05-24 |
| 1750596276 | Dennis Doyle Bowman | Dentist | 276 Kingsbury Grade, Stateline, NV 89449 | 2007-05-10 |
| 1053532622 | Jeanne C Horton | Physician Assistant | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194294975 | Allison Shima | Home Health | 795 Bigler Ct., Unit B, Stateline, NV 89449 | 2018-11-21 |
| 1093184459 | Amy Payne | Massage Therapist | 301 Highway 50, Stateline, NV 89449 | 2015-09-16 |
| 1871972091 | Tess Jansse | Physical Therapist | 15 Highway 50, Stateline, NV 89449 | 2015-05-20 |
| 1386067437 | Maureen Sullivan | Counselor | 37 Burke Creek Cir, Stateline, NV 89449 | 2014-01-27 |
| 1831401835 | Lucie Ann King | Social Worker | 191 Pine Drive, Stateline, NV 89449 | 2010-07-07 |
| 1134217375 | Sean M Degnan | Specialist | 165 Hwy 50, Suite 100, Stateline, NV 89449 | 2006-10-11 |
| 1124048962 | Richard Eldred Lusby | Dentist | 308 Dorla Court, Suite 202, Zephyr Cove, NV 89449 | 2006-07-21 |
| 1982675252 | Vitalcare Health Services Inc | Durable Medical Equipment & Medical Supplies | 170 Shady Lane, Stateline, NV 89449 | 2006-01-27 |
| 1124025069 | Paul Lance Marlowe | Family Medicine | 155 Hwy 50, Stateline, NV 89449 | 2005-07-07 |
| 1306333604 | Premise Health of Nevada Medical Hinitt P C | Non-Pharmacy Dispensing Site | 15 Highway 50, Stateline, NV 89449 | 2018-04-23 |
| Find all providers in zip 89449 | ||||
| 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 |
|---|---|---|---|---|
| 1750596276 | Dennis Doyle Bowman | Dentist | 276 Kingsbury Grade, Stateline, NV 89449 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302400 | Margaret Rodriguez | Dentist | 3773 Baker Ln Ste 6, Reno, NV 89509-5490 | 2020-10-07 |
| 1760096614 | Nevada Dental Professional, Quirt, Gates, PC | Dentist | 55 S Valle Verde Dr Ste 250, Henderson, NV 89012-3479 | 2020-09-08 |
| 1851901755 | Christian J. Otteson | Dentist | 4750 W Sahara Ave Ste 12, Las Vegas, NV 89102-3559 | 2020-08-05 |
| 1811506082 | Jorge Jimenez-marquez, Dmd, Pllc | Dentist | 110 E Bruner Ave Ste 130, Las Vegas, NV 89183-5700 | 2020-07-23 |
| 1235747643 | Sean Patrick Fitzgibbons | Dentist | 6545 Ditmars St, Las Vegas, NV 89166-8026 | 2020-07-21 |
| 1790303840 | Harrison Luu | Dentist | 4250 Simmons St Ste 100, North Las Vegas, NV 89032-0769 | 2020-07-06 |
| 1467079806 | Cristian Omar Sosa | Dentist | 860 S Rancho Dr Ste 3, Las Vegas, NV 89106-3828 | 2020-07-01 |
| 1538786421 | Colette Laree Fuglaar | Dentist | 6974 Walden Park St, Las Vegas, NV 89166-8044 | 2020-06-26 |
| 1700406618 | Joshua M. Ignatowicz Dmd PC | Dentist | 1070 W Horizon Ridge Pkwy Ste 121, Henderson, NV 89012-6019 | 2020-04-21 |
| 1083233001 | Flamingo Dental Partners LLC | Dentist | 6680 W Flamingo Rd Ste A, Las Vegas, NV 89103-2189 | 2020-04-09 |
| 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.