DR. KATHLEEN ANN GORDON DDS
NPI 1184704587
Dentist - General Practice in Riverside, CA

Active since October 17, 2006
4515 CENTRAL AVE STE 103, RIVERSIDE, CA 92506(951) 682-0042(951) 682-0043 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Ann Gordon Dds NPPES

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

DR. KATHLEEN ANN GORDON DDS (NPI 1184704587) is an individual general practice provider in Riverside, California, licensed in California (42655) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1184704587
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KATHLEEN ANN GORDONCredential: DDS
Location Address4515 CENTRAL AVE STE 103Riverside, CA 92506-2374
Mailing Address3955 Rice RdRiverside, CA 92506-0143 · (951) 682-0042 · Fax (951) 682-0043
Fax(951) 682-0043
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184704587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 42655
Definition
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.
4515 CENTRAL AVE STE 103, Riverside, CA 92506

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4515 CENTRAL AVE STE 103
RIVERSIDE, CA 92506

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 Kathleen Gordon's NPI number?

The NPI number for Kathleen Gordon is 1184704587. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Kathleen Gordon located?

Kathleen Gordon practices at 4515 Central Ave Ste 103, Riverside, CA 92506. The listed phone number is (951) 682-0042.

What is Kathleen Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kathleen Gordon accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Kathleen Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.