DAVID MICHAEL GORDON D.D.S.
NPI 1487757308
Dentist in Vallejo, CA

Q: What is David Gordon's NPI number?

The NPI number for David Gordon is 1487757308. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is David Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David 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.

Active since September 06, 2006PECOS Enrolled

23 ROTARY WAY, VALLEJO, CA 94591(707) 557-2200(707) 642-7502 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About David Michael Gordon D.d.s. NPPES

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

DAVID MICHAEL GORDON D.D.S. (NPI 1487757308) is an individual dentist in Vallejo, California, licensed in California (31465) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487757308

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDAVID MICHAEL GORDONCredential: D.D.S.

Location Address23 ROTARY WAYVallejo, CA 94591-8475

Mailing Address823 Bantry CourtBenicia, CA 94510 · (707) 745-1344 · Fax (707) 642-7502

Phone(707) 557-2200

Fax(707) 642-7502

Sole ProprietorYes

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487757308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 31465

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.

23 ROTARY WAY, Vallejo, CA 94591

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Michael Gordon D.d.s. 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 94591 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$80.24 typical visit price

range $21.86 – $157.69

Typical copayment $20.06 (range $5.46 – $39.42)

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.

DR. JOHN W BRISTOW DDS

Dentist (General Practice)

23 ROTARY WAY
VALLEJO, CA 94591

Solano County (707) 642-3319

KATARIA DENTAL, INC.

Dentist

23 ROTARY WAY
VALLEJO, CA 94591

Solano County (916) 580-7809

JOHN W. BRISTOW, D.D.S.

Dentist (General Practice)

23 ROTARY WAY
VALLEJO, CA 94591

Solano County (707) 642-3319

KATARIA DENTISTRY, PROFESSIONAL CORPORATION

Clinic/Center (Dental)

23 ROTARY WAY
VALLEJO, CA 94591

Solano County (707) 842-1426

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 David Gordon's NPI number?

The NPI number for David Gordon is 1487757308. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is David Gordon located?

David Gordon practices at 23 Rotary Way, Vallejo, CA 94591. The listed phone number is (707) 557-2200.

What is David Gordon's specialty?

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

Is David Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for David 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.