Randall Gordon, D.M.D

ActiveIndividual ProviderDentistry
NPI issued: July 26, 2005

Quick Facts

NPI Number
1912907551
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(310) 473-6060
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1912907551)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 26, 2005)
Data source: CMS NPPES

Provider Overview

RANDALL GORDON, D.M.D is a Dentistry provider based in Los Angeles, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1912907551
Provider TypeIndividual Provider
GenderMale
CredentialD.M.D
StatusActive
Enumeration DateJuly 26, 2005

Practice Location

CityLos Angeles
StateCA
ZIP Code90025-1733
Phone(310) 473-6060

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateCA

Mailing Address

CityLos Angeles
StateCA
ZIP Code90025-1733
Phone(310) 473-6060
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1912907551 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1912907551for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1912907551 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Randall Gordon's NPI number?
Randall Gordon's NPI number is 1912907551, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Randall Gordon's NPI currently active?
Yes, Randall Gordon's NPI status is Active as of the latest CMS NPPES database updates.
What does Randall Gordon specialize in?
Randall Gordon specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Randall Gordon practice?
Randall Gordon practices in Los Angeles, CA 90025-1733.
When was Randall Gordon's NPI issued?
Randall Gordon's NPI was issued on July 26, 2005.
What is Randall Gordon's provider type?
Randall Gordon is registered as an Individual Provider under CMS NPI Type 1.