DR. JOHN JOSEPH GORDON DMD
NPI 1902985120
Dentist - General Practice in Portland, OR

Active since November 06, 2006PECOS Enrolled
2425 SW VERMONT ST, PORTLAND, OR 97219(503) 246-7717 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. John Joseph Gordon Dmd NPPES

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

DR. JOHN JOSEPH GORDON DMD (NPI 1902985120) is an individual general practice provider in Portland, Oregon, licensed in Oregon (5047) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902985120
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN JOSEPH GORDONCredential: DMD
Location Address2425 SW VERMONT STPortland, OR 97219-1939
Mailing Address2425 Sw Vermont StPortland, OR 97219-1939 · (503) 246-7717
Sole ProprietorYes
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902985120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · 5047
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.
2425 SW VERMONT ST, Portland, OR 97219

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. John Joseph Gordon Dmd 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 97219 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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 John Gordon's NPI number?

The NPI number for John Gordon is 1902985120. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is John Gordon located?

John Gordon practices at 2425 SW Vermont St, Portland, OR 97219. The listed phone number is (503) 246-7717.

What is John Gordon's specialty?

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

Is John Gordon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John 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.