DR. DUSTIN GORDON DC
NPI 1659082964
Chiropractor in Jenks, OK

Active since December 07, 2022Accepts Medicare Assignment
609 E MAIN ST, JENKS, OK 74037(918) 299-1296 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dustin Gordon Dc NPPES

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

DR. DUSTIN GORDON DC (NPI 1659082964) is an individual chiropractor in Jenks, Oklahoma, licensed in Oklahoma (4515) and active in the NPI registry since December 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1659082964
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DUSTIN GORDONCredential: DC
Location Address609 E MAIN STJenks, OK 74037-4138
Mailing Address11515 W 91st St SSapulpa, OK 74066-8422 · (918) 691-6885
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 7, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1659082964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 4515
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
609 E MAIN ST, Jenks, OK 74037

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dustin Gordon Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264807619
PECOS Enrollment IDI20230417002119

Medicare Billing Reassignments

2

Medicare enrollment records show Dustin Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
609 E MAIN ST
Jenks, OK 74037
  • Reassigned Medicare billing, Oklahoma enrollment
Internal Medicine
8660 S PEORIA AVE
Tulsa, OK 74132
  • Reassigned Medicare billing, Oklahoma enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Chiropractor
609 E MAIN ST
JENKS, OK 74037
Chiropractor
609 E MAIN ST
JENKS, OK 74037
Chiropractor
609 E MAIN ST
JENKS, OK 74037
Chiropractor
609 E MAIN ST
JENKS, OK 74037

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 Dustin Gordon's NPI number?

The NPI number for Dustin Gordon is 1659082964. It was assigned to this individual provider in the NPPES registry on December 7, 2022.

Where is Dustin Gordon located?

Dustin Gordon practices at 609 E Main St, Jenks, OK 74037. The listed phone number is (918) 299-1296.

What is Dustin Gordon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Dustin Gordon enrolled in Medicare?

Yes. Dustin Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dustin Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Gordon reassigns Medicare benefits to 2 organizations: Gordon Chiropractic, PLLC (Jenks, OK) and Metabolic Centers For Excellence LLC (Tulsa, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dustin Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Gordon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and UnitedHealthcare list Dustin Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dustin Gordon was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.