DR. GORDON CLARK DAMON JR. DDS
NPI 1407145022
Dentist - General Practice in Fort Worth, TX

Active since April 04, 2011PECOS Enrolled
1414 TEXAS ST, FORT WORTH, TX 76102(817) 336-2121 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gordon Clark Damon Jr. Dds NPPES

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

DR. GORDON CLARK DAMON JR. DDS (NPI 1407145022) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (27147) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407145022
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GORDON CLARK DAMON JR.Credential: DDS
Location Address1414 TEXAS STFort Worth, TX 76102-3426
Mailing Address1414 Texas StFort Worth, TX 76102-3426 · (817) 336-2121
Sole ProprietorNo
Enumeration DateApril 4, 2011
Last NPPES UpdateFebruary 24, 2015
NPI 1407145022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 27147
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.

1414 TEXAS ST, Fort Worth, TX 76102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gordon Clark Damon Jr. 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 76102 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 4

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

Dentist
1414 TEXAS ST
FORT WORTH, TX 76102
Clinic/Center (Dental)
1414 TEXAS ST
FORT WORTH, TX 76102
Dentist
1414 TEXAS ST
FORT WORTH, TX 76102
Dentist (General Practice)
1414 TEXAS ST
FORT WORTH, TX 76102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407145022, enumerated as an "individual" on April 04, 2011.

The provider is located at 1414 TEXAS ST FORT WORTH, TX 76102 and the phone number is (817) 336-2121.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.