Organization Active NPI

Dan Gardner Inc

Doing business as Gardner Audiology

  • Audiologist
  • Crystal River, FL
National Provider Identifier
1063515955
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
DAN GARDNER INC
Doing business as
Gardner Audiology
Practice address
700 SE 5TH Terr
Suite 12
Crystal River, FL 34429-4877
Phone
(352) 795-5377
Fax
(352) 795-8663
NPI assigned
Sep 6, 2006
Last updated
Feb 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel P Gardner, M.S.NPI 1043247760
Title
President
Phone
(352) 795-5377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

700 SE 5TH Terr
Suite 12
Crystal River, FL 34429-4877

Mailing address

700 SE 5TH Terr
Suite 12
Crystal River, FL 34429-4877
Phone (352) 795-5377

Other identifiers 1

IdentifierTypeStateIssuer
J0279OtherFLBLUE CROSS & BLUE SHIELD

Other names 1

  • GARDNER AUDIOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081011000021 FL Part B Supplier - Clinic/Group Practice 8921176363 Receives reassigned benefits from 10 practitioners
Practice locations: Crystal River, FL; Zephyrhills, FL; Tampa, FL; South Pasadena, FL; Inverness, FL; Dunnellon, FL

National Provider Directory

National Provider Directory

Locations

700 SE 5th Ter
Ste 11
Crystal River, FL 34429
Phone (352) 795-5377

700 SE 5th Ter
Ste 12
Crystal River, FL 34429
Phone (352) 795-5377

790 SE 5th Ter
Ste B
Crystal River, FL 34429
Phone (352) 795-5700

2222 Highway 44 W
Inverness, FL 34453
Phone (352) 419-6565

1135 Pasadena Ave S
Ste 140
South Pasadena, FL 33707
Phone (800) 277-1182

1265 Kass Cir
Spring Hill, FL 34606
Phone (352) 334-0955

220 Pasadena Ave S
St Petersburg, FL 33707
Phone (727) 800-9818

3902 Henderson Blvd
Ste 208
Tampa, FL 33629
Phone (321) 222-3127

6615 Gunn Hwy
Tampa, FL 33625
Phone (800) 277-1182

38196 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 482-5742

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1063515955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TERR",
            "address_2": "SUITE 12",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294877",
            "telephone_number": "352-795-5377",
            "fax_number": "352-795-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SE 5TH TERR",
            "address_2": "SUITE 12",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294877",
            "telephone_number": "352-795-5377",
            "fax_number": "352-795-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN GARDNER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-795-5377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "J0279",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GARDNER AUDIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.