Thomas Levier Gardner, D.M.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2014021043 Issued in MO

Practice address

1246 E Walnut Lawn St
Springfield, MO 65804-4202

Phone

(417) 719-7862

NPI assigned

Aug 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gardner Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, MO
  • NPI 1538709514
  NPD Authorized official
• Gardner Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Springfield, MO
  • NPI 1437558137
  NPD (past)
• East 22ND Street Dental, P.C.

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1396832994

  Multi-Specialty

  NPD (past)
• Tremont Road Dental Super, P.C.

  • General Practice Dentistry
  • Falls Church, VA
  • NPI 1366539959

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1063811644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 E WALNUT LAWN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044202",
            "telephone_number": "417-719-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 E WALNUT LAWN ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044202",
            "telephone_number": "417-719-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 W Mount Vernon St",
            "address_purpose": "LOCATION",
            "city": "Nixa",
            "state": "MO",
            "postal_code": "657149682",
            "country_code": "US",
            "telephone_number": "417-719-7862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "764 US Highway 60 E",
            "address_purpose": "LOCATION",
            "city": "Republic",
            "state": "MO",
            "postal_code": "657381524",
            "country_code": "US",
            "telephone_number": "417-719-7862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "THOMAS",
        "middle_name": "LEVIER",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "23133",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2014021043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catelynn Raye Garde, DDS
• Gardner Orthodontics
• Gardner Pediatric Dentistry LLC
• Jemika Gardner, LMSW
• Jesse Nathaniel Gardner, D.M.D.
• Brady Robert Garmon
• Christopher Garner, PA
• Emily Garner
• John Brian Garner, MD
• Robert Thomas Garner, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.