NPIMap

Organization Active NPI

Daniel G. Gardiner DDS Inc.

  • Periodontics
  • Upland, CA
National Provider Identifier
1114012259
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
29716 Issued in CA
Legal business name
DANIEL G. GARDINER DDS INC.
Practice address
840-A W. Ninth St.
Upland, CA 91786-4545
Phone
(909) 946-6170
Fax
(909) 946-5608
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Dr. Daniel George Gardiner, D.D.S.NPI 1073946281
Title
President
Phone
(909) 946-6170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 29716 CA Primary

Addresses

Primary practice location

840-A W. Ninth St.
Upland, CA 91786-4545

Mailing address

840-A W. Ninth St.
Upland, CA 91786-4545
Phone (909) 946-6170

National Provider Directory

National Provider Directory

Locations

840 W 9th St
Ste A
Upland, CA 91786
Phone (909) 946-6170

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1114012259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840-A W. NINTH ST.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864545",
            "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-A W. NINTH ST.",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864545",
            "telephone_number": "909-946-6170",
            "fax_number": "909-946-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL G. GARDINER DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-946-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "29716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.