1. Home
  2. Directory
  3. Texas
  4. Odessa
  5. Dentist
  6. NPI Profile

DR. JONATHAN GORDON DDS
NPI 1720322852
Dentist - General Practice in Odessa, TX

Active since November 15, 2012PECOS Enrolled
1401 E 8TH ST, ODESSA, TX 79761(432) 332-8550 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Mar 4, 2020, Jul 3, 2019 (3 updates tracked since 2019).

About Dr. Jonathan Gordon Dds NPPES

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

DR. JONATHAN GORDON DDS (NPI 1720322852) is an individual general practice provider in Odessa, Texas, licensed in Texas (39533) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720322852
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN GORDONCredential: DDS
Location Address1401 E 8TH STOdessa, TX 79761-4802
Mailing Address7345 Bristol CirNaples, FL 34120-0696 · (678) 200-0569
Phone(432) 332-8550
Sole ProprietorNo
Enumeration DateNovember 15, 2012
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1720322852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 39533
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.
Also ListedDentistTaxonomy 122300000X · License DN23865 (FL)
Also ListedPharmacistTaxonomy 183500000X · License 13654 (SC), 024929 (GA)
1401 E 8TH ST, Odessa, TX 79761
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Jonathan 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 79761 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 13

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

ANDREW ANH NGUYEN DMD
Dentist (General Practice)
1401 E 8TH ST
ODESSA, TX 79761
Ector County (432) 332-8550
ALEXANDER TRAN DDS
Dentist (General Practice)
1401 E 8TH ST
ODESSA, TX 79761
Ector County (888) 988-4066
JEAN BRUNET JOSEPH DDS
Dentist
1401 E 8TH ST
ODESSA, TX 79761
Ector County (888) 988-4066
DANIEL LEE DDS
Dentist (General Practice)
1401 E 8TH ST
ODESSA, TX 79761
Ector County (432) 332-8550
MOHAMED A ABDULATI
Dentist (Orthodontics and Dentofacial Orthopedics)
1401 E 8TH ST
ODESSA, TX 79761
Ector County (432) 332-8550
KHALED SHALABY
Dentist
1401 E 8TH ST
ODESSA, TX 79761
Ector County (888) 988-4066
SMITHA SANIGARAPU D.D.S
Dentist (General Practice)
1401 E 8TH ST
ODESSA, TX 79761
Ector County (432) 332-8550
FAMILIA DENTAL ODESSA PLLC
Dentist (General Practice)
1401 E 8TH ST
ODESSA, TX 79761
Ector County (432) 332-8550

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 Jonathan Gordon's NPI number?

The NPI number for Jonathan Gordon is 1720322852. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Jonathan Gordon located?

Jonathan Gordon practices at 1401 E 8th St, Odessa, TX 79761. The listed phone number is (432) 332-8550.

What is Jonathan Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Gordon enrolled in Medicare?

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

What insurance does Jonathan Gordon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Jonathan 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 Jonathan Gordon was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.