NPIMap

Organization Active NPI

Roddy a. Gardner, D.O. P.C.

  • General Practice Physician
  • Tempe, AZ
National Provider Identifier
1073796223
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
975 Issued in AZ
Legal business name
RODDY A. GARDNER, D.O. P.C.
Practice address
910 S Priest Dr
Tempe, AZ 85281-5233
Phone
(480) 967-7821
Fax
(480) 967-1247
NPI assigned
Dec 11, 2007
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Dr. Roddy A. Gardner, D.O.NPI 1336244409
Title
President
Phone
(480) 967-7821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 975 AZ Primary

Addresses

Primary practice location

910 S Priest Dr
Tempe, AZ 85281-5233

Mailing address

910 S Priest Dr
Tempe, AZ 85281-5233
Phone (480) 967-7821

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1073796223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S PRIEST DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815233",
            "telephone_number": "480-967-7821",
            "fax_number": "480-967-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S PRIEST DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815233",
            "telephone_number": "480-967-7821",
            "fax_number": "480-967-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODDY A. GARDNER, D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "RODDY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-967-7821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.