Nicole Helen Gordon, DDS
NPI 1790858850ActiveIndividual· Dentist, General Practice· Stateline, NV
Dentist, General Practice (DDS) in Stateline, Nevada, licensed in NV and CA, with an NPI issued in November 2006. Part D covered 24 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1790858850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Jan 19, 2022 |
| Certified by provider | Jan 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 7149 | NV |
| Dentist, General Practice | 1223G0001X | 53970 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $103.33 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Stateline
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- 1750596276