Organization Active NPI

Gardner Chiropractic Clinic, P.a.

  • Chiropractor
  • Conway, AR
National Provider Identifier
1083629810
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1231 Issued in AR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 1231 AR Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.