Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mark J Gordon, DDS

Dentist in Prairie Village, KS · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386643740

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Registry record

Entity type Individual (Type 1)

Name Mark J Gordon

Credential DDS

Sex Male

Practice address 4121 W 83rd St, Suite 212, Prairie Village, KS, 66208

Phone (913) 649-4042

Fax (913) 649-8898

Enumeration date Jul 19, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

122300000X Dentist Dental Providers · License 5900 (KS) Primary

122300000X Dentist Dental Providers · License 013474 (MO) Secondary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

Other identifiers

Identifier	Type	State	Issuer
09533-01-8	Other	MO	BCBS
79345	Other	KS	BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Mark Gordon?

Mark Gordon is registered in NPPES with the primary taxonomy of Dentist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.