{"npi":"1386643740","type":"NPI-1","status":"active","name":{"display":"Mark Gordon DDS","other":[],"first":"MARK","last":"GORDON","middle":"J","credential":"DDS"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"KS","license":"5900"},{"code":"122300000X","description":"Dentist","primary":false,"state":"MO","license":"013474"}]},"addresses":[{"purpose":"LOCATION","street_1":"4121 W 83RD ST","city":"PRAIRIE VILLAGE","state":"KS","postal_code":"662085300","country_code":"US","street_2":"SUITE 212","phone":"9136494042","fax":"9136498898"},{"purpose":"MAILING","street_1":"4121 W 83RD ST","city":"PRAIRIE VILLAGE","state":"KS","postal_code":"662085300","country_code":"US","street_2":"SUITE 212","phone":"9136494042","fax":"9136498898"}],"license":{"state":"KS","number":"5900"},"identifiers":[{"type_code":"01","label":"Other","value":"09533-01-8","state":"MO","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"79345","state":"KS","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150302002162","type_code":"33-19","type_desc":"ORDER AND REFERRING ONLY - ORAL SURGERY","state":"KS","pac_id":"3870819279"}]},"enumeration_date":"2005-07-19","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}