DR. RYAN LEE GORDON DDS MS NPI 1316997240
Dentist (Endodontics) in Richfield, MN
About RYAN GORDON
Ryan Gordon is a provider established in Richfield, Minnesota and his medical specialization is dentist (endodontics) . The NPI number of Ryan Gordon is 1316997240 and was assigned on May 2006. The practitioner's primary taxonomy code is 1223E0200X with license number D11620 (MN). The provider is registered as an individual and his NPI record was last updated 15 years ago.
A dentist like Dr. Ryan Lee Gordon Dds Ms is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Ryan Gordon is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Ryan Gordon is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
| NPI | 1316997240 |
| Provider Name | DR. RYAN LEE GORDON DDS MS |
| Provider Location Address | 6601 LYNDALE AVE S SUITE 230 WOODLAKE CENTRE RICHFIELD, MN 55423 |
| Provider Mailing Address | PO BOX 23029 RICHFIELD, MN 55423 |
| Gender | Male |
| NPI Entity Type | Individual |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | N/A |
| Enumeration Date | 05-11-2006 |
| Last Update Date | 07-08-2007 |
Primary Taxonomy
| Taxonomy Code | 1223E0200X |
| Classification | Dentist |
| Type | Dental Providers |
| Specialization | Endodontics |
| License No. | D11620 |
| License State | MN |
| Taxonomy Description | The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Business Address
DR. RYAN LEE GORDON DDS MS
6601 LYNDALE AVE S
SUITE 230 WOODLAKE CENTRE
RICHFIELD, MN
ZIP 55423
Phone: (612) 638-1224
Fax: (612) 638-1232
Mailing Address
DR. RYAN LEE GORDON DDS MS
PO BOX 23029
RICHFIELD, MN
ZIP 55423
Phone: (612) 861-9123
Fax: (612) 861-9155
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | No |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336114644 | DR. JOSEPH SHAUN HICKEN D.D.S., M.S. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 6601 LYNDALE AVE S SUITE 240 RICHFIELD, MN 55423 (612) 869-8834 |
| 1568431492 | DR. JAMES DAMON MARZELLA DDS Individual | Dentist | 6601 LYNDALE AVE S WOODLAKE CENTER, SUITE 230 RICHFIELD, MN 55423 (612) 861-9123 |
| 1659340503 | JOHN CARLTON WITTENSTROM DDS Individual | Dentist | 6601 LYNDALE AVE S WOODLAKE CENTER SUITE 230 RICHFIELD, MN 55423 (612) 861-9123 |
| 1891764635 | DR. MARK MARSHALL PEARCE D.D.S. Individual | Dentist | 6601 LYNDALE AVE S WOODLAKE CENTRE SUITE 230 RICHFIELD, MN 55423 (612) 866-1234 |
| 1841251071 | DR. MELANIE FREDETTE D.M.D. Individual | Dentist | 6601 LYNDALE AVE S SUITE 230 RICHFIELD, MN 55423 (612) 866-1234 |
| 1811953300 | MOHAMMAD HUSSAM ALKILLESLY DDS Individual | Dentist | 6601 LYNDALE AVE S STE 230 RICHFIELD, MN 55423 (612) 861-9123 |
| 1215949045 | MARK STEVEN JOHNSON D.D.S. Individual | Dentist (General Practice) | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 (612) 861-9109 |
| 1598860314 | DR. DAVID MILBRATH DDS Individual | Dentist (General Practice) | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 (612) 861-9123 |
| 1568568814 | DR. TRACEY LEIGH SCHILLING-HYSJULIEN DDS Individual | Dentist (General Practice) | 6601 LYNDALE AVE S STE 230 RICHFIELD, MN 55423 (612) 866-1234 |
| 1508996638 | JAMES FRANCIS RIAN P.T. Individual | Physical Therapist | 6601 LYNDALE AVE S #105 RICHFIELD, MN 55423 (612) 798-8860 |
| 1629277082 | PERSPECTIVES OPTOMETRIC VISION CLINIC, PC Organization | Optometrist | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 270-3261 |
| 1639356785 | JAN MARI YOUNG PTA Individual | Physical Therapy Assistant | 6601 LYNDALE AVE S 105 RICHFIELD, MN 55423 (612) 798-8860 |
| 1003043175 | DR. REBECCA LEIGH BENSON D.D.S. Individual | Dentist (General Practice) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 866-1234 |
| 1356362164 | KIMBERLEE ANN THIELEN M.D. Individual | Internal Medicine (Nephrology) | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 (612) 823-8001 |
| 1205987450 | DEIRDRE ANN PALMER MD Individual | Internal Medicine (Nephrology) | 6601 LYNDALE AVE S SUITE 220 RICHFIELD, MN 55423 (612) 823-8001 |
| 1356724975 | DR. BENJAMIN DAVID LARSON DDS Individual | Dentist (General Practice) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 866-1234 |
| 1083083323 | DR. MICAH CHAN D.M.D., M.S. Individual | Dentist (Periodontics) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 243-9357 |
| 1891336863 | JESSE ELAINE OLSON NURSE PRACTITIONER Individual | Nurse Practitioner (Adult Health) | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 823-8001 |
| 1811908742 | JOSHUA R TANNER PT Individual | Physical Therapist | 6601 LYNDALE AVE S RICHFIELD, MN 55423 (612) 775-5190 |
| 1689076432 | LAURA RICHARDSON DPT Individual | Physical Therapist | 6601 LYNDALE AVE S #105 RICHFIELD, MN 55423 (612) 775-5190 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.