Daniel George Gardiner, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

29716 Issued in CA

Practice address

840 W 9TH St
Ste a
Upland, CA 91786-4583

Phone

(909) 946-6170

Fax

(909) 946-5608

NPI assigned

Aug 12, 2013

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Daniel G. Gardiner DDS Inc.

  • Periodontics
  • Upland, CA
  • NPI 1114012259
  NPD (past) Authorized official

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1073946281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W 9TH ST",
            "address_2": "STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864583",
            "telephone_number": "909-946-6170",
            "fax_number": "909-946-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W 9TH ST",
            "address_2": "STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864583",
            "telephone_number": "909-946-6170",
            "fax_number": "909-946-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "DANIEL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "29716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Garcia, PTA
• Natali Sulem Garcia
• Nazareth Garcia
• Ricky Israel Garcia, CATC III, ACSW
• Xitlalli Alejandra Garcia
• Joyce Lillian Gardner, CATC
• Brenda Garfias-Guzman
• Garfield Beach CVS LLC (CVS Pharmacy #09698)
• Garfield Beach CVS LLC (CVS Pharmacy #09792)
• Garfield Beach CVS LLC (CVS Pharmacy #16955)

• Periodontics in Upland, CA
• Providers in Upland, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.