Active NPI
Terry Franklin Gardner, DDS
- Dentist
- Mesa, AZ
National Provider Identifier
1093864308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1775
- Practice address
- 2024 S Don Carlos
Suite a
Mesa, AZ 85202 - Phone
- (480) 838-8558
- Fax
- (480) 838-8615
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1775 | AZ | Primary |
Addresses
Primary practice location
2024 S Don Carlos
Suite a
Mesa, AZ 85202
Mailing address
2024 S Don Carlos
Suite a
Mesa, AZ 85202
Phone (480) 838-8558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1775 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark D. Voigt, D.D.S., P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093864308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 S DON CARLOS",
"address_2": "SUITE A",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-838-8558",
"fax_number": "480-838-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 S DON CARLOS",
"address_2": "SUITE A",
"city": "MESA",
"state": "AZ",
"postal_code": "85202",
"telephone_number": "480-838-8558",
"fax_number": "480-838-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "TERRY",
"middle_name": "FRANKLIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "1775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.