Timothy Elmer Gardner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16499 Issued in TX

Practice address

2210 N Frazier St Ste 120
Conroe, TX 77303-1701

Phone

(936) 539-3636

Fax

(936) 539-3639

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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

• Timothy E. Gardner, D.D.S., LTD., L.L.P.

  • General Practice Dentistry
  • Conroe, TX
  • NPI 1114443207
  NPD (past) Authorized official
• Montgomery Comprehensive Dental Center

  • Exclusive Provider Organization
  • Conroe, TX
  • NPI 1619354693
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1104043942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 N FRAZIER ST STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773031701",
            "telephone_number": "936-539-3636",
            "fax_number": "936-539-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N FRAZIER ST STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773031701",
            "telephone_number": "936-539-3636",
            "fax_number": "936-539-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TIMOTHY",
        "middle_name": "ELMER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patsy Diane Garcia, PT, DPT
• Vanessa Garcia, LCSW
• Yareli Garcia
• Lesley Gardiner, MD PHD
• Melissa Gardner
• Linda Gail Garland, RN
• Juliana Garr, M.D.
• Charlotte Ann Garrett
• Kelli Garrett, PTA
• Rebecca Dawn Garrett

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.