Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Larry R Van Gordon , DMD

Dentist - General Practice β€’ Aloha, OR

Active NPI 1679571616 Individual Practitioner Male Practitioner
Practice location in NPPES

3895 Sw 185th Ave, Ste 110
Aloha, OR 970071573

Call 5036491646 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3895 Sw 185th Ave
Ste 110

Aloha, OR 970071573

Telephone 5036491646
Organization at the Same NPPES Address or Phone
Ernest R Thompson Dmd Pc Facility NPI 1548376858

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Aloha and Oregon

15 active clinicians are listed under Dentist - General Practice with a practice address in Aloha, OR (1,894 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Aloha

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES OR 4372

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1629078167

Doctor of Dental Medicine

Dr. Ernest Thompson , DMD

Dentist - General Practice

NPI 1477597292

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
⚠️
NPI Profile Deactivated August 24, 2017

NPPES lists this NPI as deactivated as of August 24, 2017; the reason is not published.

πŸ”„
NPI Profile Reactivated November 10, 2008

Record officially reactivated for active practice on November 10, 2008

πŸ“
Practice Location (Initial Record) November 10, 2008

Registered at 3895 SW 185TH AVE, STE 110, ALOHA, OR 970071573 (Tel: 5036491646)

πŸ“
Business Mailing Address (Initial Record) November 10, 2008

Registered at 3895 SW 185TH AVE, STE 110, ALOHA, OR 97007 (Tel: 5036491646)

πŸ‘€
Provider Name / Credentials (Initial Record) November 10, 2008

Recorded as LARRY VAN GORDON, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2008

Dentist (license number reported to NPPES: OR 4372)

⚠️
NPI Profile Deactivated March 25, 2006

NPPES lists this NPI as deactivated as of March 25, 2006; the reason is not published.

🟒
Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1679571616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: November 10, 2008

Other Dentist - General Practices in Aloha

All Dentist - General Practices in Aloha

Mailing Address

3895 Sw 185th Ave, Ste 110

Aloha, OR 97007

Phone: 5036491646

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.