Active NPI
Daniel Ray Gardner
- Massage Therapist
- Richland, MS
National Provider Identifier
1023976990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3917
- Practice address
- 203 James St
Richland, MS 39218-6007 - Phone
- (601) 203-9992
- Fax
- (601) 203-9992
- NPI assigned
- Jan 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3917 | MS | Primary |
Addresses
Primary practice location
203 James St
Richland, MS 39218-6007
Mailing address
203 James St
Richland, MS 39218-6007
Phone (601) 203-9992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3917 | MS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1023976990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 JAMES ST",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392186007",
"telephone_number": "601-203-9992",
"fax_number": "601-203-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 JAMES ST",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392186007",
"telephone_number": "601-203-9992",
"fax_number": "601-203-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "DANIEL",
"middle_name": "RAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "MS",
"license": "3917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, MS
- Tammy F. Faulkner-Craig, DNP, FNP-BC
- First Choice Medical Supply, LLC
- First Intermed Corporation
- Laurin Suzanne Folmar, OT
- Kelli Marie Foster, APRN NP-C
- Ashlyn Gustafson
- Anthony Todd Harris II, PHARMD
- Derrell Dewayne Hart Jr., PHARMD
- Meredith Duncan Hayles, FNP-BC
- Healing Horizons Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.