Brock Van Gordon, D.M.D

ActiveIndividual ProviderDentistry
NPI issued: January 16, 2007

Quick Facts

NPI Number
1962554584
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy122300000X — Dentistry
Phone
(503) 878-4163
StateOR

NPI Validation Status: Verified

Valid 10-digit NPI number (1962554584)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 16, 2007)
Data source: CMS NPPES

Provider Overview

BROCK VAN GORDON, D.M.D is a Dentistry provider based in Tualatin, OR who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1962554584
Provider TypeIndividual Provider
GenderMale
CredentialD.M.D
StatusActive
Enumeration DateJanuary 16, 2007

Practice Location

CityTualatin
StateOR
ZIP Code97062-9762
Phone(503) 878-4163

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code122300000X
License StateOR

Mailing Address

CityTualatin
StateOR
ZIP Code97062-9762
Phone(503) 878-4163
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1962554584 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.

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For Credentialing

Reference NPI 1962554584for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1962554584 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.

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125,053
Dentistry Providers in the US

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People Also Ask

What is Brock Van Gordon's NPI number?
Brock Van Gordon's NPI number is 1962554584, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Brock Van Gordon's NPI currently active?
Yes, Brock Van Gordon's NPI status is Active as of the latest CMS NPPES database updates.
What does Brock Van Gordon specialize in?
Brock Van Gordon specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 122300000X.
Where does Brock Van Gordon practice?
Brock Van Gordon practices in Tualatin, OR 97062-9762.
When was Brock Van Gordon's NPI issued?
Brock Van Gordon's NPI was issued on January 16, 2007.
What is Brock Van Gordon's provider type?
Brock Van Gordon is registered as an Individual Provider under CMS NPI Type 1.