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PHILIP J GORDON DDS
NPI 1225265010
Dentist in Kansas City, MO

Active since June 18, 2009Opted out of Medicare · through Jul 1, 2028
5844 NW BARRY RD, STE. 220, KANSAS CITY, MO 64154(816) 505-2222 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Philip J Gordon Dds NPPES

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

PHILIP J GORDON DDS (NPI 1225265010) is an individual dentist in Kansas City, Missouri, licensed in Missouri (2009013194) and active in the NPI registry since June 2009. He has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1225265010
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePHILIP J GORDONCredential: DDS
Location Address5844 NW BARRY RD, STE. 220Kansas City, MO 64154-1465
Mailing Address5844 Nw Barry Rd, Ste. 220Kansas City, MO 64154-1465 · (816) 505-2222 · Fax (816) 505-1334
Phone(816) 505-2222
Sole ProprietorNo
Enumeration DateJune 18, 2009
✔ NPI 1225265010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2009013194
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5844 NW BARRY RD, Kansas City, MO 64154
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Philip J Gordon Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2022 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2022
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

MS. SHIRLEY ANN GOODE M.S.N.
Nurse Practitioner (Women's Health)
5844 NW BARRY RD, STE 310
KANSAS CITY, MO 64154
Platte County (816) 741-9122
MR. PARTH SHAILESH PATEL M.D.
Internal Medicine (Pulmonary Disease)
5844 NW BARRY RD
KANSAS CITY, MO 64154
Platte County (816) 880-6238
DR. NANCY A MILLER MD
Obstetrics & Gynecology
5844 NW BARRY RD, STE 310
KANSAS CITY, MO 64154
Platte County (816) 741-9122
DR. ANDREW LUCAS BOZARTH M.D.
Internal Medicine (Pulmonary Disease)
5844 NW BARRY RD, STE 300
KANSAS CITY, MO 64154
Platte County (816) 404-4175
JOHN PAUL GREENWOOD MD
Internal Medicine (Pulmonary Disease)
5844 NW BARRY RD, SUITE 300
KANSAS CITY, MO 64154
Platte County (816) 880-2770
NORTHLAND OPEN MRI LLC
Clinic/Center (Radiology)
5844 NW BARRY RD, SUITE 120
KANSAS CITY, MO 64154
Platte County (816) 584-1674
RITA A MANGOLD RN
Nurse Practitioner (Adult Health)
5844 NW BARRY RD, SUITE 300
KANSAS CITY, MO 64154
Platte County (816) 880-6238
BENESTO F TUMANUT M.D.
Specialist
5844 NW BARRY RD, SUITE 340
KANSAS CITY, MO 64154
Platte County (816) 880-6238

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 Philip Gordon's NPI number?

The NPI number for Philip Gordon is 1225265010. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Philip Gordon located?

Philip Gordon practices at 5844 NW Barry Rd Ste. 220, Kansas City, MO 64154. The listed phone number is (816) 505-2222.

What is Philip Gordon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Philip Gordon enrolled in Medicare?

No. Philip Gordon has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Philip Gordon was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.