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DR. GORDON LADD DOUGLASS D.D.S.
NPI 1801010699
Dentist - Periodontics in Sacramento, CA

Active since April 12, 2007PECOS Enrolled
3960 EL CAMINO AVE, SUITE 1, SACRAMENTO, CA 95821(916) 483-4964(916) 483-6380 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gordon Ladd Douglass D.d.s. NPPES

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

DR. GORDON LADD DOUGLASS D.D.S. (NPI 1801010699) is an individual periodontics provider in Sacramento, California, licensed in California (21792) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801010699
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. GORDON LADD DOUGLASSCredential: D.D.S.
Location Address3960 EL CAMINO AVE, SUITE 1Sacramento, CA 95821-6534
Mailing Address3960 El Camino Ave, Suite 1Sacramento, CA 95821-6534 · (916) 483-4964 · Fax (916) 483-6380
Phone(916) 483-4964
Fax(916) 483-6380
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801010699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 21792
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3960 EL CAMINO AVE, Sacramento, CA 95821
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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)

Dr. Gordon Ladd Douglass 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 95821 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 5

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

DR. ROBERT N KATIBAH D.D.S.
Dentist (General Practice)
3960 EL CAMINO AVE, STE 4
SACRAMENTO, CA 95821
Sacramento County (916) 483-8217
MR. JOHN BISHOP CHILDERS DDS
Dentist (General Practice)
3960 EL CAMINO AVE, STE #3
SACRAMENTO, CA 95821
Sacramento County (916) 483-3234
DR. UPENDRA PATEL DDS, INC.
Dentist
3960 EL CAMINO AVE, SUITE 2
SACRAMENTO, CA 95821
Sacramento County (415) 690-6683
DR. JEFFREY JASON ROSA D.D.S.
Dentist
3960 EL CAMINO AVE, 5
SACRAMENTO, CA 95821
Sacramento County (916) 483-1611
UPENDRA J PATEL DDS INC
Dentist
3960 EL CAMINO AVE, SUITE 2
SACRAMENTO, CA 95821
Sacramento County (415) 690-6683

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 Gordon Douglass's NPI number?

The NPI number for Gordon Douglass is 1801010699. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Gordon Douglass located?

Gordon Douglass practices at 3960 El Camino Ave Suite 1, Sacramento, CA 95821. The listed phone number is (916) 483-4964.

What is Gordon Douglass's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Gordon Douglass enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Gordon Douglass 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.