Organization Active NPI

William C. Gardner DDS PA

  • Sleep Medicine (Family Medicine) Physician
  • Albuquerque, NM
National Provider Identifier
1154767259
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
WILLIAM C. GARDNER DDS PA
Practice address
8200 Carmel Ave NE Ste 101
Albuquerque, NM 87122-2942
Phone
(505) 828-2669
Fax
(505) 828-2716
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Dr. William C Gardner, DDS
Title
President
Phone
(505) 828-2669

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X Primary

Addresses

Primary practice location

8200 Carmel Ave NE Ste 101
Albuquerque, NM 87122-2942

Mailing address

8200 Carmel Ave NE Ste 101
Albuquerque, NM 87122-2942
Phone (505) 828-2669

National Provider Directory

National Provider Directory

Locations

8200 Carmel Ave NE
Ste 101
Albuquerque, NM 87122
Phone (505) 828-2669

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1154767259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 CARMEL AVE NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222942",
            "telephone_number": "505-828-2669",
            "fax_number": "505-828-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CARMEL AVE NE STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222942",
            "telephone_number": "505-828-2669",
            "fax_number": "505-828-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. GARDNER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-828-2669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.