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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARK J GORDON DDS
NPI 1386643740
Dentist in Prairie Village, KS

Active since July 19, 2005PECOS Enrolled
4121 W 83RD ST, SUITE 212, PRAIRIE VILLAGE, KS 66208(913) 649-4042(913) 649-8898 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark J Gordon Dds NPPES

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

MARK J GORDON DDS (NPI 1386643740) is an individual dentist in Prairie Village, Kansas, licensed in Kansas (5900) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386643740
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMARK J GORDONCredential: DDS
Location Address4121 W 83RD ST, SUITE 212Prairie Village, KS 66208-5300
Mailing Address4121 W 83rd St, Suite 212Prairie Village, KS 66208-5300 · (913) 649-4042 · Fax (913) 649-8898
Phone(913) 649-4042
Fax(913) 649-8898
Sole ProprietorNo
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1386643740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in KS · 5900✔ Licensed in MO · 013474
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.
4121 W 83RD ST, Prairie Village, KS 66208
Open in Google Maps ↗

Other Identifiers 2

Other09533-01-8MO · Bcbs
Other79345KS · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark J Gordon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

DR. SUSAN KEIL KESSLER DDS
Dentist
4121 W 83RD ST, SUITE 200
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 385-2324
ROSTBERG CHIROPRACTIC & ACUPUNCTURE, P.A.
Chiropractor
4121 W 83RD ST, SUITE 204
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 381-9355
ROSEMARIE A ROMAIN-TYSON LLC
Psychiatry & Neurology (Psychiatry)
4121 W 83RD ST, 254
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 381-7500
DR. ALLAN D. REICHMAN D.D.S.
Dentist (General Practice)
4121 W 83RD ST, SUITE 220
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 649-9400
DR. DONALD B COLSON PHD
Psychologist (Clinical)
4121 W 83RD ST, SUITE 227
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 648-1212
DR. ROBERT D. DEAY D.D.S.
Dentist (General Practice)
4121 W 83RD ST, SUITE 239
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 385-5950
DR. JOHN S FAERBER DDS PA
Dentist
4121 W 83RD ST, SUITE 245
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 648-6694
BARBARA B HISE PHD
Counselor (Professional)
4121 W 83RD ST, SUITE 161
PRAIRIE VILLAGE, KS 66208
Johnson County (913) 383-1600

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 Mark Gordon's NPI number?

The NPI number for Mark Gordon is 1386643740. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Mark Gordon located?

Mark Gordon practices at 4121 W 83rd St Suite 212, Prairie Village, KS 66208. The listed phone number is (913) 649-4042.

What is Mark Gordon's specialty?

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

Is Mark Gordon enrolled in Medicare?

Yes. Mark Gordon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Gordon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.