MARK J GORDON (DDS) – Dentist, NPI 1386643740

MARK J GORDON (DDS) is a healthcare provider. based in Prairie village, Kansas. specializing in Dentist. They hold the professional credentials DDS. They hold a License No. 5900 (KS). The NPI Number for MARK J GORDON (DDS) is 1386643740

Main info

Male
Name
MARK J GORDON (DDS)
NPI
1386643740
Phone
(913) 649-4042
Address
4121 W 83RD ST
Enumeration Date
19 July 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MARK J GORDON (DDS)

  • 4121, West 83rd Street, Prairie Village, Johnson County, Kansas, 66208, United States

    SUITE 212

    PRAIRIE VILLAGE, KS 662085300

    Phone: (913) 649-4042

    Fax: (913) 649-8898

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $260.

Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.

Last reported payment date: 2024-01-19 • Largest payer in this snapshot: ZIMVIE INC. ($244).

Total Amount

$260

General + Research + Ownership

Payments

4

Total payment records

General Amount

$260

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-19

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-02

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66208)

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Reviews

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Frequently asked questions

Is MARK J GORDON (DDS) listed with a National Provider Identifier?
Yes — MARK J GORDON (DDS) has NPI 1386643740 on file in the registry.
Active or inactive — what applies to MARK J GORDON (DDS)?
You should see MARK J GORDON (DDS) as active in CMS-hosted NPPES data.
What kind of doctor is MARK J GORDON (DDS)?
MARK J GORDON (DDS) is associated with Dentist in the directory — Clinical services aligned with this taxonomy classification.
Where in Kansas is MARK J GORDON (DDS) registered?
Use Prairie Village, Kansas as the headline location for MARK J GORDON (DDS) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.