Thayne Gardner DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

THAYNE GARDNER DDS, PLLC

Practice address

1268 W South Jordan Pkwy Ste 101
South Jordan, UT 84095-4653

Phone

(801) 446-8007

Fax

(801) 676-1030

NPI assigned

Nov 4, 2021

Organization subpart

No

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

Authorized official

Name

Thayne Gardner, DDSNPI 1073804001

Title

Dentist/Owner

Phone

(801) 446-8007

Specialties & licenses 1

Addresses

Other names 1

• Little People's Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thayne Henrie Gardner, DDS

  • Pediatric Dentistry
  • South Jordan, UT
  • NPI 1073804001
  NPD Authorized official
• David Michael Sine Stewart, DDS

  • Pediatric Dentistry
  • Anchorage, AK
  • NPI 1376550111
  NPD (past)

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1295490100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 W SOUTH JORDAN PKWY STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954653",
            "telephone_number": "801-446-8007",
            "fax_number": "801-676-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 W SOUTH JORDAN PKWY STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954653",
            "telephone_number": "801-446-8007",
            "fax_number": "801-676-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAYNE GARDNER DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "THAYNE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "801-446-8007",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little People's Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trina Terrion
• Eleshia Terry
• Tessa Lee MD
• Bridget Ann Thackeray, ACMHC
• Kaitlyn Jo Thackeray, CSW, CPH
• The Body Shop Physical Therapy and Rehab
• The Foot LLC
• The Hive Social Activity Group
• The Language Mental Health Services, PLLC
• The Lodge Assisted Living Corporation

• All providers in South Jordan, UT
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.