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CHANEL GORDON
NPI 1184267346
Specialist - Prosthetics Case Management in Mesa, AZ

Active since October 21, 2019
1731 W BASELINE RD STE 107, MESA, AZ 85202(480) 687-2336 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanel Gordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANEL GORDON (NPI 1184267346) is an individual prosthetics case management provider in Mesa, Arizona and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1184267346
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameCHANEL GORDON
Location Address1731 W BASELINE RD STE 107Mesa, AZ 85202-5730
Mailing Address1731 W Baseline Rd Ste 107Mesa, AZ 85202-5730 · (513) 828-5597
Phone(480) 687-2336
Sole ProprietorYes
Enumeration DateOctober 21, 2019
✔ NPI 1184267346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
1731 W BASELINE RD STE 107, Mesa, AZ 85202
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanel Gordon's NPI number?

The NPI number for Chanel Gordon is 1184267346. It was assigned to this individual provider in the NPPES registry on October 21, 2019.

Where is Chanel Gordon located?

Chanel Gordon practices at 1731 W Baseline Rd Ste 107, Mesa, AZ 85202. The listed phone number is (480) 687-2336.

What is Chanel Gordon's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Chanel Gordon was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.