Active NPI
Gardner Chiropractic Clinic, P.a.
- Chiropractor
- Conway, AR
National Provider Identifier
1083629810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1231
- Legal business name
- GARDNER CHIROPRACTIC CLINIC, P.A.
- Practice address
- 813 Oak Street
Suite 7
Conway, AR 72032-4400 - Phone
- (501) 329-2700
- Fax
- (501) 329-5282
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger L Gardner, D.C.
- Title
- Owner/Provider
- Phone
- (501) 329-2700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1231 | AR | Primary |
| Chiropractor | 111N00000X | 4618 | CO |
Addresses
Primary practice location
813 Oak Street
Suite 7
Conway, AR 72032-4400
Mailing address
813 Oak Street
Suite 7
Conway, AR 72032-4400
Phone (501) 329-2700
National Provider Directory
National Provider DirectoryLocations
813 Oak St
Ste 7
Conway, AR 72032
Phone (501) 329-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083629810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 OAK STREET",
"address_2": "SUITE 7",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324400",
"telephone_number": "501-329-2700",
"fax_number": "501-329-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 OAK STREET",
"address_2": "SUITE 7",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324400",
"telephone_number": "501-329-2700",
"fax_number": "501-329-5282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDNER CHIROPRACTIC CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GARDNER",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "501-329-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "AR",
"license": "1231",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CO",
"license": "4618",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.